Complete heart block in a 9 year old girl caused by borreliosis.

Abstract

A complete atrioventricular block was seen in a nine year old girl in whom an infection with Borrelia burgdorferi was confirmed by serological testing. There were no other symptoms or cutaneous manifestations of the disease. Though a rash on the right ear was later recalled by her parents. The patient was treated with high dose penicillin and orciprenaline was given intermittently. The complete heart block disappeared within four days.

Electrocardiographic findings in children with erythema migrans

“…Several sporadic cases and small series of patients with Lyme carditis have been reported, predominantly in adults and only rarely in children [14][15][16][17][18][19][20][21][22][23][24][25]. According to published information the heart is usually involved early in the course of illness, i.e.…”

Persistent sinus bradycardia: an unusual presentation of acute myocarditis in infancy

“…[4][5][6][7][8] Our patient was fully immunized, afebrile and lacked any findings of acute exudative pharyngitis to suggest diptheria. The patient's age and absence of any other major or minor Jones criteria ruled out acute rheumatic fever.…”

Cardiac implications of Lyme disease, diagnosis and therapeutic approach

“…Although erythema migrans is a very specific symptom of Lyme disease in the acute phase, it is not present in all cases. Ticks' bite in combination with the rest of the symptoms in Lyme carditis is very suggestive of the disease, but not all the patients recall or mention such a bite [36,60,61].…”