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)
-
Paulius Aliukonis,
Tadas Letauta,
Rūta Briedienė,
Ieva Naruševičiūtė,
Simona Letautienė,
The role of different PI-RADS versions in prostate multiparametric magnetic resonance tomography assessment
,
Acta medica Lituanica: Vol. 24 No. 1 (2017)
-
Jurgita ANDRUŠKIENĖ,
Deimantė KIRVELIENĖ,
Arvydas MARTINKĖNAS,
Ingemar ANDERSSON,
Göran EJLERTSSON,
Work experience and school workers’ health evaluated by salutogenic health indicators
,
Acta medica Lituanica: Vol. 18 No. 2 (2011)
-
Rūta Dubakienė,
Vilija Rubinaitė,
Malvina Petronytė,
Indrė Dalgėdienė,
Odilija Rudzevičienė,
Dalia Dubakaitė,
Palmira Rudalevičienė,
Aurelija Žvirblienė,
Investigation of markers of allergic sensitization and viral infections in children with allergy and asthma
,
Acta medica Lituanica: Vol. 24 No. 3 (2017)
-
Gabrielius Jakutis,
Ieva Norkienė,
Donata Ringaitienė,
Tomas Jovaiša,
Severity of hyperoxia as a risk factor in patients undergoing on-pump cardiac surgery
,
Acta medica Lituanica: Vol. 24 No. 3 (2017)
-
Eglė Preikšaitienė,
Laima Ambrozaitytė,
Živilė Maldžienė,
Aušra Morkūnienė,
Loreta Cimbalistienė,
Tautvydas Rančelis,
Algirdas Utkus,
Vaidutis Kučinskas,
Identification of genetic causes of congenital neurodevelopmental disorders using genome wide molecular technologies
,
Acta medica Lituanica: Vol. 23 No. 2 (2016)
-
Natālija Vedmedovska,
Anda Ķīvīte-Urtāne,
Ija Lisovaja,
Laura Rācene,
Līva Ķīse,
Beāte Sārta,
Agnija Vaska,
Zane Rostoka,
Violeta Bule,
Ieva Pitkēviča,
Dace Rezeberga,
Ultrasound Simulation for Training Trainees when the Luxury Becomes Essential: Opinion and Evidence Obtained during the Latvian Research Council Project Implementation
,
Acta medica Lituanica: Vol. 29 No. 2 (2022): Acta medica Lituanica
-
Justina Katinaitė,
Birutė Petrauskienė,
Recurrent pericarditis: a case report and literature review
,
Acta medica Lituanica: Vol. 24 No. 3 (2017)
-
Rasa Garunkštienė,
Rimutė Vaitkevičienė,
Ieva Paulavičienė,
Nijolė Drazdienė,
Rimantė Čerkauskienė,
Acute kidney injury in an extremely low birth weight infant with nephrolithiasis: a case report
,
Acta medica Lituanica: Vol. 25 No. 3 (2018)
-
Dovilė Jančauskaitė,
Robertas Samalavičius,
Sigita Glaveckaitė,
Palmyra Semėnienė,
Pranas Šerpytis,
Electrocardiographic changes during therapeutic hypothermia: observational data from a single centre
,
Acta medica Lituanica: Vol. 26 No. 3 (2019): Acta Medica Lituanica
-
V. Araminaitė,
R. Šimkūnaitė-Rizgelienė,
V. Žalgevičienė,
V. Bukelskienė,
J. Tutkuvienė,
Nutritional peculiarities during the prenatal period and physical status of the offspring: a pilot experimental study
,
Acta medica Lituanica: Vol. 20 No. 1 (2013)