11/13. Complete heart block in a 9 year old girl caused by borreliosis.A complete atrioventricular block was seen in a nine year old girl in whom an infection with borrelia burgdorferi was confirmed by serological testing. There were no other symptoms or cutaneous manifestations of the disease. Though a rash on the right ear was later recalled by her parents. The patient was treated with high dose penicillin and orciprenaline was given intermittently. The complete heart block disappeared within four days.- - - - - - - - - - ranking = 1keywords = burgdorferi (Clic here for more details about this article) |
12/13. Common form of Lyme borreliosis carditis--complete heart block with syncope: report on 3 cases.Third degree atrioventricular (AV) heart block with severe Adams-Stokes attacks in 3 patients with Lyme borreliosis is described. All patients had similar clinical manifestations: previously healthy, they experience syncope as an abrupt onset of the disease. Data on skin changes--erythema migrans--was subsequently obtained, although the patients did not recall being bitten by a tick. Diagnoses were based on clinical manifestations and on positive serologic test results to borrelia. Following AV block returned to sinus rhythm with normal AV conduction in all patients.- - - - - - - - - - ranking = 0.22483643389004keywords = borrelia (Clic here for more details about this article) |
13/13. Primary cardiac lymphoma in an immunocompetent woman.We report a fatal primary cardiac non-Hodgkin's lymphoma in a 62 years old immunocompetent woman presenting with tamponade and complete atrioventricular block. CT-scan, echocardiography and autopsy examination showed a tumor largely infiltrating the heart without extracardiac involvement. A surgical biopsy revealed high grade B-cell non-Hodgkin's lymphoma with a misleading myelomonocytic CD68 (KPI) expression. polymerase chain reaction analysis revealed a clonal rearrangement of the immunoglobulin heavy chain gene and confirmed the B-cell origin of the lymphoma. Our report also emphasizes the role of immunohistochemical and molecular techniques in the diagnosis.- - - - - - - - - - ranking = 0.18260023210397keywords = lyme (Clic here for more details about this article) |
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