scholarly journals Lyme Carditis: A Case Report and Review of Management

2018 ◽  
Vol 53 (4) ◽  
pp. 263-265 ◽  
Author(s):  
Sheheryar Muhammad ◽  
Robert J. Simonelli
Keyword(s):  
Heart Rate ◽  
Case Report ◽  
Erythema Migrans ◽  
Acute Onset ◽  
Unknown Etiology ◽  
Type I ◽  
Av Block ◽  
Presumptive Diagnosis ◽  
Lyme Carditis ◽  
Mobitz Type

Purpose: A case report of a patient who presented with an acute onset, fluctuating atrioventricular (AV) block and was diagnosed with Lyme carditis is presented. Summary: A 55-year-old man with progressively worsening generalized malaise, flu-like symptoms, dyspnea on exertion, and near syncope was admitted with bradycardia (heart rate was between 20 and 30 beats per minute upon admission). He endorsed having several tick bites after which he developed erythema migrans on his arm and abdomen. An electrocardiogram (ECG) revealed a second-degree AV block, fluctuating between Mobitz type I and Mobitz type II heart block, with a P-R interval of 300 ms. A presumptive diagnosis of Lyme carditis was made based on a confirmed history of tick exposure, presence of erythema migrans, and AV block. The patient was started on ceftriaxone. On day 3 of hospitalization, patient’s heart rate was between 50 and 60 beats per minute. A diagnosis of Lyme disease was confirmed based on serologic testing. A repeat ECG revealed a first-degree AV block with a P-R interval of 300 ms. On day 5 of hospitalization, a peripherally inserted central catheter line was placed and the patient was discharged to his home on a 28-day course of ceftriaxone. Patient’s heart rate was 65 beats per minute on discharge day. Conclusion: Considering Lyme carditis as a differential diagnosis in patients with an AV block of an unknown etiology can result in a timely diagnosis and treatment of Lyme carditis.

Bradyarrhythmias

2018 ◽  
Author(s):  
Kim Rajappan
Keyword(s):  
Heart Rate ◽  
Sick Sinus Syndrome ◽  
Sinus Bradycardia ◽  
Sinus Node ◽  
Ventricular Rate ◽  
Type I ◽  
Av Block ◽  
Node Disease ◽  
Wenckebach Phenomenon ◽  
Mobitz Type

A bradyarrhythmia is defined as a rhythm disturbance that results in a heart rate of less than 60 bpm. It is important to note that many healthy people have a resting heart rate that is less than 60 bpm, most commonly due to sinus bradycardia (i.e. a rhythm arising from the sinus node but with a ventricular rate less than 60 bpm). Other forms of bradyarrhythmia are sinus node disease, sick sinus syndrome, first-degree atrioventricular (AV) block, second-degree AV block (which can be characterized as Möbitz type I (Wenckebach phenomenon) or Möbitz type II), and third-degree AV block (also known as complete heart block). This chapter discusses the bradyarrhythmias, focusing on their etiology, symptoms, demographics, diagnosis, prognosis, and treatment.

Mobitz Type I and First Degree AV Block: When to Permanently Pace?

1998 ◽  
pp. 470-475
Author(s):  
L. Padeletti ◽  
A. Michelucci ◽  
P. Ticci ◽  
P. Pieragnoli
Keyword(s):  
Type I ◽  
Av Block ◽  
Mobitz Type

Type I Second-Degree AV Block (Mobitz Type I, Wenckebach AV Block) During Ritrodrine Therapy for Preterm Labor

1991 ◽  
Vol 8 (02) ◽  
pp. 150-152 ◽  
Author(s):  
David Sherer ◽  
Mark Nawrocki ◽  
Howard Thompson ◽  
James Woods
Keyword(s):  
Preterm Labor ◽  
Type I ◽  
Av Block ◽  
Mobitz Type ◽  
Second Degree

scholarly journals A Case of Lyme Carditis Presenting with Atrial Fibrillation

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Peter J. Kennel ◽  
Melvin Parasram ◽  
Daniel Lu ◽  
Diane Zisa ◽  
Samuel Chung ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Borrelia Burgdorferi ◽  
Antibiotic Therapy ◽  
Unusual Presentation ◽  
Type I ◽  
Atrial Arrhythmias ◽  
Av Block ◽  
Lyme Carditis ◽  
Second Degree

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 Borrelia burgdorferi. 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.

scholarly journals Quincke’s disease: a case report

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Rakshita R. Kamath ◽  
S. Juthika Rai
Keyword(s):  
Case Report ◽  
Chronic Pancreatitis ◽  
Medical Personnel ◽  
Acute Onset ◽  
Unknown Etiology ◽  
Angioneurotic Edema ◽  
Case Presentation ◽  
Clinical Disorder ◽  
Life Threatening ◽  
Acute Condition

Abstract Background Isolated angioneurotic edema of the uvula is termed Quincke’s disease. It is a rare clinical disorder of acute onset with few known causes. It may be encountered in any emergency setup and must be dealt with rapidly and with utmost vigilance for prevention of progression and complications. Case presentation A young adult, 3 months post Frey’s procedure for chronic pancreatitis, presented with acute onset throat discomfort and gagging progressive over 8 h. Examination showed isolated edematous hyperemic uvula with normal oropharyngeal structures and adequate airway. Prompt antihistaminic and corticosteroid therapy caused relief of symptoms over 2 h with no recurrences. Conclusion Any symptom suggesting orofacial edema must not be trivialized. Awareness about this rare but acute condition, even in the background of unknown etiology, in all medical personnel is essential. Early diagnosis with appropriate management can prevent life-threatening airway obstruction and hypoxemia.

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