Lyme carditis: Difference between revisions
From IDWiki
(Created page with "== Management == * Treat per Borrelia burgdorferi * About half need temporary pacing * Third-degree heart block resolves with treatment and they do ''not'' need a pacemak...") |
No edit summary |
||
Line 1: | Line 1: | ||
− | == |
+ | == Clinical Manifestations == |
+ | * Occurs during early disseminated Lyme disease (14-21 days following inoculation) |
||
⚫ | |||
+ | |||
⚫ | |||
+ | ==Management== |
||
⚫ | |||
+ | |||
⚫ | |||
+ | **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 |
||
⚫ | |||
⚫ | |||
[[Category:Cardiac infections]] |
[[Category:Cardiac infections]] |
Latest revision as of 09:28, 17 February 2021
Clinical Manifestations
- Occurs during early disseminated Lyme disease (14-21 days following inoculation)
Management
- 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
- Hospitalization recommended for those at risk of severe complications
- About half need temporary pacing
- Third-degree heart block resolves with treatment and they do not need a pacemaker