Veyssier P, Davous N, Kaloustian E, Maitre B, Lallement P Y, Serret A
Service de médecine interne, Centre hospitalier, Compiègne.
Rev Med Interne. 1987 Sep-Oct;8(4):357-60. doi: 10.1016/s0248-8663(87)80006-1.
Lyme disease is a systemic bacterial infection involving several organs. Cardiac involvement predominantly consists of disorders of conduction which may be associated with pericarditis, although this rarely occurs. Cardiac lesions in Lyme disease (disorders of conduction, myocarditis, pericarditis) are usually observed during the second stage of the disease. In the two cases reported here, the myocardial and pericardial signs suggested Lyme disease and in view of the context, pointed to the diagnosis.
莱姆病是一种累及多个器官的全身性细菌感染。心脏受累主要表现为传导障碍,可能与心包炎有关,尽管这种情况很少发生。莱姆病的心脏病变(传导障碍、心肌炎、心包炎)通常在疾病的第二阶段出现。在本文报道的两例病例中,心肌和心包体征提示莱姆病,结合具体情况,明确了诊断。