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)
-
Baiba Vilīte,
Eva Strīķe,
Katrīna Rutka,
Roberts Leibuss,
Pain management in intensive care unit patients after cardiac surgery with sternotomy approach
,
Acta medica Lituanica: Vol. 26 No. 1 (2019): Acta Medica Lituanica
-
Eglė Puncevičienė,
Justina Gaiževska ,
Rasa Sabaliauskaitė,
Kristina Šnipaitienė,
Lina Vencevičienė,
Dalius Vitkus,
Sonata Jarmalaitė,
Irena Butrimienė,
Analysis of Epigenetic Changes in Vitamin D Pathway Genes in Rheumatoid Arthritis Patients
,
Acta medica Lituanica: Vol. 29 No. 1 (2022): Acta medica Lituanica
-
Vilija Malinauskienė,
Lina Bernotaitė,
The Impact of Event Scale – Revised: psychometric properties of the Lithuanian version in a sample of employees exposed to workplace bullying
,
Acta medica Lituanica: Vol. 23 No. 3 (2016)
-
Elija Januškevičiūtė,
Vaidas Vicka,
Justina Krauklytė,
Alvita Vickienė,
Donata Ringaitienė,
Mindaugas Šerpytis,
Jūratė Šipylaitė,
Acute Kidney Injury in Cardiac Surgery Patients: Role of Glomerular Filtration Rate and Fat-Free Mass
,
Acta medica Lituanica: Vol. 28 No. 1 (2021): Acta medica Lituanica
-
Diana Bužinskienė,
Matas Mongirdas,
Saulius Mikėnas,
Gražina Drąsutienė,
Linas Andreika,
Indrė Sakalauskaitė,
Chemical peritonitis resulting from spontaneous rupture of a mature ovarian cystic teratoma: a case report
,
Acta medica Lituanica: Vol. 26 No. 4 (2019): Acta Medica Lituanica
-
Darja Rojaka,
Sigita Lesinskienė,
A survey of some aspects of birthday celebration
,
Acta medica Lituanica: Vol. 25 No. 2 (2018)
-
Ugur Gonlugur,
Tanseli Gonlugur,
Sule Ozer,
Middle Lobe Syndrome Associated with Bronchial Anthracofibrosis
,
Acta medica Lituanica: Vol. 27 No. 2 (2020): Acta medica Lituanica
-
Vaida Gedvilaitė,
Diana Schveigert,
Saulius Cicėnas,
Cell-free DNA in non-small cell lung cancer
,
Acta medica Lituanica: Vol. 24 No. 2 (2017)
-
Vilius Rudaitis,
Gailė Maldutytė,
Uterine arteriovenous malformation treated with selective embolisation of uterine arteries: a case report
,
Acta medica Lituanica: Vol. 28 No. 1 (2021): Acta medica Lituanica
-
Diana Bužinskienė,
Saulius Mikėnas,
Gražina Drąsutienė,
Matas Mongirdas,
Uterine sarcoma: a clinical case and a literature review
,
Acta medica Lituanica: Vol. 25 No. 4 (2018)