A Classic Presentation of Lyme Complete Heart Block

Abstract

Lyme Borreliosis is a systemic disease caused by the spirochete Borrelia Burgdorferi and usually presents as early, localized and disseminated, as well as persistent or chronic disorder. If untreated with antibiotics, more than half the patients develop further complication. The least well developed complication is carditis. It has been estimated that 4-10% of untreated patients develop carditis complications. Here we present a classic case of Lyme carditis, who had concomitant complete heart block and erythema chronicum migrans, as only 44% of patients with complete heart block were identified to have Erythema Migrans simultaneously.