Abstract
Background. Lyme disease, the most common anthropozoonosis, is a transmissible natural focal infection affecting various organs and systems. Also known as Lyme borreliosis, it is caused by Borrelia spirochetes, which are distributed by ticks of the genus Ixodes. Early diagnosis is difficult due to frequent occurrence of atypical symptoms, unnoticed tick bites, the absence of migratory erythematous lesions, and symptoms occurring during the nontick season. If not diagnosed and treated in time, dissemination of the infection occurs and various complications develop since borrelias damage not only the skin but also the nervous system, joints, and, in rare cases, the heart and eyes. Materials and methods. This article presents a clinical case of Lyme borreliosis-induced myocarditis, which led to the development of dilated cardiomyopathy and, consequently, urgent cardiac transplantation. According to our data, this is one of the first described cases of this complication in the world. Results and conclusions. When diagnosed in time and treated properly, the prognosis of Lyme myocarditis is usually good. In most cases, the atrioventricular block disappears within 1–2 weeks of antibiotic treatment and the implantation of a temporary pacemaker is rarely needed. In those rare cases of a chronic Borrelia burgdorferi infection, dilated cardiomyopathy may develop; thus if a sudden atrioventricular block occurs, the physician should be vigilant and perform the necessary tests to exclude the diagnosis of Lyme disease.
Downloads
Download data is not yet available.
Most read articles by the same author(s)
-
Vasiliki Epameinondas Georgakopoulou,
Aikaterini Gkoufa,
Aikaterini Aravantinou,
Nikolaos Garmpis,
Konstantinos Mantzouranis,
Serafeim Chlapoutakis,
Pagona Sklapani,
Anna Garmpi,
Nikolaos Trakas,
Christos Damaskos,
Hemoptysis in Renal Transplant Recipients
,
Acta medica Lituanica: Vol. 28 No. 2 (2021): Acta medica Lituanica
-
Roberts Rumba,
Sandra Cipkina,
Fanija Cukure,
Andrejs Vanags,
Systemic and local inflammation in colorectal cancer
,
Acta medica Lituanica: Vol. 25 No. 4 (2018)
-
Balakumar KE,
Vandana Tayal,
Vidhya Egambarame,
Vandana Roy,
Lithium Induced Amenorrhea: A First Case Report
,
Acta medica Lituanica: Vol. 31 No. 1 (2024): Acta medica Lituanica
-
Nadežda Lachej,
Violeta Jonušienė,
Augustina Mažeikė,
Aušra Sasnauskienė,
Daiva Dabkevičienė,
Julija Šimienė,
Kęstutis Sužiedėlis,
Janina Didžiapetrienė,
Changes in the expression of Notch and Wnt signalling molecules in human endometrial cancer
,
Acta medica Lituanica: Vol. 26 No. 3 (2019): Acta Medica Lituanica
-
Mehdi Maghbooli,
Abdolreza Esmaeilzadeh ,
Fatemeh Karami Zarandi,
Arezoo Jafarzadeh ,
Sajjad Biglari ,
Nazanin Azizi Shalbaf ,
Negar Farhoudi ,
Is There Any Relation between Serum Levels of Interleukin-10 and Neurophysiological Abnormalities in Bell’s Palsy?
,
Acta medica Lituanica: Vol. 28 No. 2 (2021): Acta medica Lituanica
-
Evangelos N. Symeonidis,
Chrysovalantis Toutziaris,
Antonios Katsimantas,
Georgios Dimitriadis,
Incidental Detection of Preputial Calculus in a Patient with Partial Phimosis: Is it as Rare as We Believed?
,
Acta medica Lituanica: Vol. 28 No. 1 (2021): Acta medica Lituanica
-
Audrius Dulskas,
Mantas Trakymas,
Jolita Gibavičienė,
Vytautas Čepulis,
Agnė Čižauskaitė,
Narimantas Samalavičius,
Cutaneous Melanoma with Tonsillar Metastasis: Treatment with Cryoablation
,
Acta medica Lituanica: Vol. 29 No. 1 (2022): Acta medica Lituanica
-
Aistė Aleknaitė,
Monika Andrijauskaitė,
Justė Latauskienė,
Viktorija Andrejevaitė,
Elektroninės cigaretės: naujas būdas mesti rūkyti ar nauja grėsmė?
,
Acta medica Lituanica: Vol. 23 No. 1 (2016)
-
Gurpreet Kaur,
Rekha Lalwani,
Manal M. Khan,
Sunita A Athavale,
Muscle Architecture of Leg Muscles: Functional and Clinical Significance
,
Acta medica Lituanica: Vol. 30 No. 2 (2023): Acta medica Lituanica
-
Neda Gendvilaitė,
Julius Drachneris,
Tomas Poškus,
Lymphangioma of the Mesentery: Case Report and Review of the Literature
,
Acta medica Lituanica: Vol. 28 No. 1 (2021): Acta medica Lituanica