SINUS BRADYCARDIA AS AN EARLY MARKER OF HEART DAMAGE IN A GIRL WITH LYME DISEASE (CASE REPORT AND MINI REVIEW)
DOI:
https://doi.org/10.31618/ESSA.2782-1994.2021.3.68.22Keywords:
ELISA, child, COVID-19, Lyme carditisAbstract
Objectives Early clinical markers of Lyme carditis and other life-threatening prognostic factors due to complications of borreliа infection are still the beginning of active research by scientists. The literature describes a small number of cases of Lyme carditis with arrhythmias or cardiac conduction disorders. Material and methods We reviewed the case of a 14-year-old girl. LC was diagnosed on the basis of history of disease, physical examination, laboratory examination data (positive anti-borrelia IgM in ELISA with confirmation in immunoblot. The presence of B. burgdorferi s.l. was detected by the method of immunoassay analysis using the Euroimmun AG test systems (Germany). The presence of B. burgdorferi s.l. was detected by the method of immunoassay analysis using the Euroimmun AG test systems (Germany). 2 instrumental methods: (ECG,Echo-cor) were used. Results We described a case of Lyme borreliosis in a 14-year-old girl, accompanied by sinus bradyarrhythmia and pericardial fluid -(hydropericardium) (passed after a course of antibacterial therapy). Analysis of this case indicates early detection and adequate treatment of Lyme carditis in young people with minimal deviations of the cardiogram. A case of Lyme carditis , in a child was confirmed.Echocardiography of the heart (at the time of admission to the hospital andat the time of discharge from the hospital was made.
Conclusions 1. Lyme carditis should be suspected in patients with a history of Lyme disease and minimal Electrocardiographic abnormalities , such as sinus bradycardia. 2. For differential diagnosis of Lyme carditis, it is necessary to make ( carry out two-stage serological investigation of blood, especially using antibody screening tests by ELISA with subsequent confirmation by the Western blot assay.
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