Sørås Jon Are, Svingen Gard Frodahl Tveitevåg, Larsen Terje H, Keilegavlen Håvard, Kristiansen Trygve, Wendelbo Øystein
Department of Medicine, Haukeland University Hospital, Bergen, Norway.
Department of Heart Disease, Haukeland University Hospital, Bergen, Norway.
J Cardiol Cases. 2025 Apr 17;32(1):19-22. doi: 10.1016/j.jccase.2025.03.011. eCollection 2025 Jul.
In this case report, we describe two previously healthy young males who presented with cardiac symptoms suggestive of Lyme carditis (LC). LC-associated arrhythmia is a potentially fatal complication of Lyme disease, which typically occurs during the early disseminated and late stages. In high endemic areas a high degree of suspicion is vital to avoid misdiagnosis and delayed treatment, and to prevent long-term complications of disseminated infection and potentially fatal outcome.
Lyme carditis (LC) can present with a wide array of symptoms. The following two cases illustrate the diverse clinical manifestations of LC, as well as the potential for 'doctor's delay' in diagnosing patients with LC.
在本病例报告中，我们描述了两名既往健康的年轻男性，他们出现了提示莱姆心肌炎（LC）的心脏症状。与LC相关的心律失常是莱姆病的一种潜在致命并发症，通常发生在疾病早期播散期和晚期。在高流行地区，高度怀疑对于避免误诊和延误治疗、预防播散性感染的长期并发症以及潜在的致命后果至关重要。
莱姆心肌炎（LC）可表现出多种症状。以下两个病例说明了LC的不同临床表现，以及在诊断LC患者时存在“医生延误”的可能性。
