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Case Reports in Cardiology
Volume 2016, Article ID 5454160, 3 pages
Case Report

Lyme Carditis: An Interesting Trip to Third-Degree Heart Block and Back

Department of Medicine, Memorial Hospital of Rhode Island, Alpert Medical School, Brown University, Pawtucket, RI, USA

Received 23 July 2016; Revised 18 October 2016; Accepted 30 October 2016

Academic Editor: Kjell Nikus

Copyright © 2016 Maxwell Eyram Afari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Carditis is an uncommon presentation of the early disseminated phase of Lyme disease. We present the case of a young female who presented with erythema migrans and was found to have first-degree heart block which progressed to complete heart block within hours. After receiving ceftriaxone, there was complete resolution of the heart block in sequential fashion. Our case illustrates the importance of early recognition and anticipation of progressive cardiac conduction abnormalities in patients presenting with Lyme disease.