Rapid complete atrioventricular heart block reversal due to Lyme carditis

ABSTRACT

A 49-year-old man, who presented with new onset dyspnea on exertion and fatigue without clear history of a typical erythema migrans rash, was found to have complete atrioventricular (AV) heart block with positive serology for Lyme disease. A complete stepwise reversal of the AV block was achieved shortly after the initiation of intravenous antibiotic treatment.

KEYWORDS:

• Lyme carditis
• atrioventricular heart block
• lyme disease
• lyme borreliosis
• heart block

Disclosure statement

No potential conflict of interest was reported by the authors.

Patient consent

Written informed consent was obtained from the patient for the publication of this case.