Lyme carditis: Difference between revisions

Latest revision as of 13:28, 17 February 2021

Occurs during early disseminated Lyme disease (14-21 days following inoculation)

Treat per Borrelia burgdorferi
- Hospitalization recommended for those at risk of severe complications
  - PR > 300 ms, arrhythmias, myopericarditis
  - Continuous ECG monitoring
- For symptomatic bradycardia refractory to medical management, use temporary rather than permanent pacing
- Prefer oral antibiotics in general (doxycycline, amoxicillin, cefuroxime, or azithromycin)
  - If hospitalized, start with ceftriaxone before stepping down to oral
  - Duration of 14 to 21 days
About half need temporary pacing
Third-degree heart block resolves with treatment and they do not need a pacemaker

@@ Line 1: / Line 1: @@
-== Management ==
+== Clinical Manifestations ==
+* Occurs during early disseminated Lyme disease (14-21 days following inoculation)
-* Treat per [[Borrelia burgdorferi]]
-* About half need temporary pacing
+==Management==
-* Third-degree heart block resolves with treatment and they do ''not'' need a pacemaker
+*Treat per [[Borrelia burgdorferi]]
+**Hospitalization recommended for those at risk of severe complications
+*** PR > 300 ms, arrhythmias, myopericarditis
+*** Continuous ECG monitoring
+** For symptomatic bradycardia refractory to medical management, use temporary rather than permanent pacing
+** Prefer oral antibiotics in general ([[doxycycline]], [[amoxicillin]], [[cefuroxime]], or azithromycin)
+*** If hospitalized, start with [[ceftriaxone]] before stepping down to oral
+*** Duration of 14 to 21 days
+*About half need temporary pacing
+*Third-degree heart block resolves with treatment and they do ''not'' need a pacemaker
 [[Category:Cardiac infections]]