DESCRIPTION OF THE CLINICAL CASE OF LYME CARDITIS
DOI:
https://doi.org/10.11603/1811-2471.2021.v.i3.12254Keywords:
міокардит, Лайм-кардит, AV-блокада, діагностика, лікуванняAbstract
The aim – to demonstrate the features of the diagnostic process with the definition of risk factors, clinical and ECG changes, the importance of timely verification of the diagnosis and etiotropic therapy on the example of the clinical case of Lyme carditis. In the patient severe disorders of the rhythm and conductivity were revealed: AV-blockade of the Ist degree, transient AV-blockade of the II degree (Mobitz 2) and III degree, polytopic extrasystoly. Data from laboratory examinations of the patient showed an increase in markers of inflammation (increased level of CRP, troponins and ESR). To assess the likelihood of borreliosis etiology of myocarditis conducted a survey on the SILC scale (Suspicious Index in Lyme Carditis) – 8 points which indicated a high risk of Lyme Carditis, serological examination. Blot analysis confirmed the presence of IgG antibodies to Borrelia burgdorferi. Due to timely diagnosis of Lyme carditis, including serological, prescribed appropriate etiotropic antibacterial treatment with doxycycline for 21 days, the patient achieved both clinical improvement, positive ECG dynamics with improved AV conduction.
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