Lyme carditis presenting as acute coronary syndrome: a case report

被引：0
|
作者：
Rostoff, Pawel [1 ]
Konduracka, Ewa [1 ]
El Massri, Nader [1 ]
Gackowski, Andrzej [1 ]
Kruszec, Pawet [1 ]
Zmudka, Krzysztof [2 ]
Piwowarska, Wieslawa [1 ]
机构：
[1] Uniwersytetu Jagiellonskiego, Coll Med, Inst Kardiol, Klin Choroby Wiencowej,Krakowski Szpital Specjali, PL-31202 Krakow, Poland
[2] Uniwersytetu Jagiellonskiego, Coll Med, Inst Kardiol, Zaklad Hemodynam & Angiokardiog,Krakow Szpital Sp, Krakow, Poland
来源：
KARDIOLOGIA POLSKA | 2008年 / 66卷 / 04期
关键词：
Lyme borreliosis; Lyme carditis; Borrelia burgdorferi; cardiovascular symptoms;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A case of a 26-year-old man with Lyme carditis (LC) mimicking acute coronary syndrome is presented. Considering clinical presentation, electrocardiographic findings and markedly elevated levels of cardiac biomarkers, emergency coronary angiography was performed and revealed normal coronaries. Ventricular arrhythmias of Lown grade IVb during catheterization were recorded. Echocardiography showed mild global left ventricular dysfunction with ejection fraction of 50%. The diagnosis of LC was confirmed by ELISA and Western blot serologic testing. After 21 days of continuous antibiotic therapy with ceftriaxone (2.0 g/d) the patient recovered completely. We also present the current state of knowledge on the cardiovascular aspects of Lyme borreliosis.
引用
收藏
页码：420 / 425
页数：6
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