Krónikus Lyme-infekcióban észlelt akut atrioventricularis blokk

Translated title of the contribution: Acute atrioventricular block in chronic Lyme disease

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1 Citation (Scopus)


The tick bite transmitted Lyme disease is one of the most common antropozoonosis, about 10 000 new infections are reported in Hungary each year. The progress and clinical presentation can vary, and carditis can occur in later stages. A serologically verified Lyme disease caused third degree atrioventricular block in young male presenting with presyncope. Based on the tick-bites mentioned a few weeks prior to hospital admission, Lyme carditis was considered with the administration of antibiotics and monitor observation. Typical skin lesions were not recognized and laboratory findings showed no pathology. An electrophysiological study recorded a predominant supra-His atrioventricular block. Total regression of conduction could be detected later and the serological tests established an underlying Lyme disease. Currently no definite treatment recommendation is available for the potentially reversible Lyme carditis. The tick bite seemed to be the key on our way to diagnosis; however, serological tests proved the disease to be older than one year. A detailed medical history and serological tests are essential in identifying the cause and pacemaker implantation can be avoided. Orv. Hetil., 2010, 39, 1585-1590.

Translated title of the contributionAcute atrioventricular block in chronic Lyme disease
Original languageHungarian
Pages (from-to)1585-1590
Number of pages6
JournalOrvosi hetilap
Issue number39
Publication statusPublished - Sep 1 2010

ASJC Scopus subject areas

  • Medicine(all)

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