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)
-
Ashima Mahajan,
Bheru Dan Charan,
Sushant Agarwal,
Vinay Goel,
Leve Joseph Devarajan Sebastian,
Vaishali Suri,
Ashish Suri,
Ajay Garg,
Imaging and MR Spectroscopy in Papillary Craniopharyngioma
,
Acta medica Lituanica: Vol. 31 No. 1 (2024): Acta medica Lituanica
-
Robertas Samalavičius,
Donata Ringaitienė,
Karolis Urbonas,
Irina Misiurienė,
Gediminas Norkūnas,
Arūnas Valaika,
Gintaras Kalinauskas,
Mortality prediction following CABG surgery: comparison of EuroSCORE vs general risk scoring systems
,
Acta medica Lituanica: Vol. 20 No. 1 (2013)
-
Acta medica Lituanica,
Konferencija SVARBIAUSI INFEKCINIŲ LIGŲ IMUNOLOGINIAI ASPEKTAI
,
Acta medica Lituanica: Vol. 17 No. 3-4 (2010)
-
Bheru Dan Charan,
Shailesh B Gaikwad,
Savyasachi Jain,
Ajay Garg,
Leve Joseph Devarajan Sebastian,
MV Padma Srivastava,
Rohit Bhatia,
Awadh Kishore Pandit,
Shashank Sarad Kale,
An Institutional Perspective on the Number of Stent Retriever Pass and Rate of Recanalization in Mechanical Thrombectomy for Acute Ischemic Stroke: When to Stop?
,
Acta medica Lituanica: Vol. 31 No. 1 (2024): Acta medica Lituanica
-
Birutė Tumienė,
Algirdas Utkus,
Vaidutis Kučinskas,
Imprinting and its disorders in evolutionary perspective
,
Acta medica Lituanica: Vol. 21 No. 3 (2014)
-
Aidas PRANCULIS,
Zita Aušrelė KUČINSKIENĖ,
Vaidutis KUČINSKAS,
Pharmacogenomics: a perspective of personalized medicine in CHD treatment as a model
,
Acta medica Lituanica: Vol. 18 No. 2 (2011)
-
Vaidas DIRSĖ,
Loreta CIMBALISTIENĖ,
Jūratė KASNAUSKIENĖ,
Vaidutis KUČINSKAS,
Report of Jacobsen syndrome with a mild facial dysmorphism, severe hearing impairment and thrombocytopenia
,
Acta medica Lituanica: Vol. 19 No. 1 (2012)
-
Alina PŪRIENĖ,
Rita GRYBIENĖ,
Birutė BOND,
Jūratė ŽEKONIENĖ,
Vytautė PEČIULIENĖ,
Rasmutė MANELIENĖ,
Accessibility of information about oral health and dental care to pregnant women in Vilnius
,
Acta medica Lituanica: Vol. 18 No. 1 (2011)
-
Laura MAŠALAITĖ,
Jonas VALANTINAS,
Juozas STANAITIS,
Recurrence of esophageal varices after endoscopic band ligation: single centre experience
,
Acta medica Lituanica: Vol. 19 No. 2 (2012)
-
Helēna Freijere Pope,
Māra Pilmane,
Anna Junga,
Aigars Pētersons,
The Assessment of CDX1, IHH, SHH, GATA4, FOXA2, FOXF1 in Congenital Intra-Abdominal Adhesions
,
Acta medica Lituanica: Vol. 31 No. 1 (2024): Acta medica Lituanica