A.A. Blaauw, MD; Sj. van der Linden, MD; H. Kuiper, MD
To the Editor: A recent article by McAlister and colleagues (1) included an extensive review of 54 cases of Lyme carditis in the world literature. We bring to attention two cases (2, 3) of Lyme carditis reported in the Netherlands and not included in the review. In one case (2), a previously healthy 33-year-old man was hospitalized on 12 August 1987 after several days of exertional dyspnea and lightheadedness followed by a syncopal episode. An electrocardiogram showed a 2:1 atrioventricular block. A chest roentgenogram was normal. After intravenous infusion of atropine, a first-degree atrioventricular block developed. Three days later, an
Blaauw A, van der Linden S, Kuiper H. Lyme Carditis in the Netherlands. Ann Intern Med. ;111:261–262. doi: 10.7326/0003-4819-111-3-261_2
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Published: Ann Intern Med. 1989;111(3):261-262.
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