一例以心房颤动为表现的莱姆病性心肌炎
A Case of Lyme Carditis Presenting with Atrial Fibrillation.
作者信息
Kennel Peter J, Parasram Melvin, Lu Daniel, Zisa Diane, Chung Samuel, Freedman Samuel, Knorr Katherine, Donahoe Timothy, Markowitz Steven M, Halazun Hadi
机构信息
Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Department of Neurology, Weill Cornell Medicine, New York, NY, USA.
出版信息
Case Rep Cardiol. 2018 Sep 2;2018:5265298. doi: 10.1155/2018/5265298. eCollection 2018.
We report a case of a 20-year-old man who presented to our institution with a new arrhythmia on a routine EKG. Serial EKG tracings revealed various abnormal rhythms such as episodes of atrial fibrillation, profound first degree AV block, and type I second degree AV block. He was found to have positive serologies for . After initiation of antibiotic therapy, the atrial arrhythmias and AV block resolved. Here, we present a case of Lyme carditis presenting with atrial fibrillation, a highly unusual presentation of Lyme carditis.
我们报告一例20岁男性病例，其在常规心电图检查时发现了一种新的心律失常。连续心电图描记显示出各种异常节律，如房颤发作、严重一度房室传导阻滞和I型二度房室传导阻滞。发现他的血清学检查呈阳性。在开始抗生素治疗后，房性心律失常和房室传导阻滞得到缓解。在此，我们呈现一例以房颤为表现的莱姆病性心肌炎病例，这是莱姆病性心肌炎一种非常罕见的表现形式。
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