Daraz Yasmeen M, Abdelghffar Omar
Internal Medicine, Montefiore Medical Center, New York City, USA.
Internal Medicine, Elmhurst Hospital Center, New York City, USA.
Cureus. 2022 Jan 17;14(1):e21332. doi: 10.7759/cureus.21332. eCollection 2022 Jan.
Lyme disease is a multisystem disease that can present as a life-threatening condition known as Lyme carditis. While most commonly manifesting as a fluctuating atrioventricular block, Lyme carditis can also emerge as myocarditis and coronary artery events. This case report will detail the clinical scenario of a 23-year-old patient who presented with acute onset fluctuating atrioventricular block and erythema migrans and was found to have Lyme carditis. The patient was treated promptly with antibiotics, thus avoiding long-term Lyme disease sequela, with a complete resolution of his disease, including his high degree atrioventricular block.
莱姆病是一种多系统疾病，可表现为一种危及生命的状况，即莱姆心肌炎。虽然最常见的表现是波动性房室传导阻滞，但莱姆心肌炎也可能表现为心肌炎和冠状动脉事件。本病例报告将详细描述一名23岁患者的临床情况，该患者出现急性发作的波动性房室传导阻滞和游走性红斑，被诊断为莱姆心肌炎。患者迅速接受了抗生素治疗，从而避免了莱姆病的长期后遗症，其疾病完全治愈，包括高度房室传导阻滞。
