Lyme disease is now recognized as an infectious process capable of involving multiple organs including the cardiovascular system. We recently treated a boy whose complaints on admission related only to symptomatic heart block that was severe enough to require transvenous pacing. This boy was subsequently determined to have had Lyme Disease after his medical testing was reevaluated for possible tick exposure. In rare instances symptomatic heart block may be the sole presenting complaint of Lyme Disease in children.
239 many other genetic syndromes. Prenatal diagnosis of hydronephrosis can be made in approximately 95 percent of the cases after 20 postmenstrual weeks.' 1982;100(6):943-6. 4. Wallace ME, Spickett SG. Hydronephrosis in mouse, rat, and man. J Med Genet 1967;4:73-9. 5. Johnton JH, Evans JP, Glassberg KI. Pelvic hydronephrosis in children: a review of 219 personal cases.
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