[Dyspnea and palpitations in a 39-year-old male patient].

Der Internist
Dorothea Matthiae, Charalampos Kriatselis

Abstract

A 39-year-old male patient presented with dyspnea and palpitations. The electrocardiogram (ECG) showed a first degree atrioventricular (AV) block and frequent atrial extra systoles. Within the following 48 h the AV block gradually developed into a third degree intermittent complete AV block. The patient history included an untreated tick bite 2 months before presentation. The serological proof of antibodies confirmed the diagnosis of Lyme carditis and antibiotic treatment with ceftriaxon i.v. was initiated. Normal AV conduction finally resumed and the symptoms subsided completely without any further clinical consequences.

References

Mar 1, 1989·Annals of Internal Medicine·H F McAlisterS Furman
Jun 26, 2013·Laboratory Investigation; a Journal of Technical Methods and Pathology·Denise M ImaiStephen W Barthold
Nov 22, 2017·The American Journal of Medicine·Ajay K SharmaJonathan Silver
Feb 16, 2019·Journal of the American College of Cardiology·Cynthia Yeung, Adrian Baranchuk

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