Dr. Daniel Cameron: Inside Lyme Podcast

16-year-old male with Lyme disease presenting with palpitations and chest pain

lyme disease cardiac symptoms

Welcome to another edition of Inside Lyme Podcast with Dr. Daniel Cameron. I will be discussing a case featuring a 16-year-old boy who exhibited cardiac symptoms, including palpations and chest pain, due to Lyme disease. The boy was later diagnosed with Lyme carditis.

A 16-year-old male with Lyme disease presenting with palpitations and chest pain – an Inside Lyme case study.

In the Journal of BMC Infectious Diseases, Myers and colleagues describe a 16-year-old male with Lyme disease, who presented with palpitations and chest pain. [1] The erythema migrans rash was discovered during a physical examination.

The adolescent was diagnosed with Lyme carditis based on a first degree heart block by EKG.  Laboratory findings confirmed the presence of Lyme disease.

Unfortunately, his heart block progressed. “The hospital course was further remarkable for transition to 2nd degree heart block and transient episodes of complete heart block,” wrote Myers and colleagues.

In such cases, the authors recommend admission. “Any patient with suspected Lyme carditis manifesting cardiac symptoms such as syncope, chest pain, or EKG changes should be admitted for parenteral antibiotic therapy and cardiac monitoring.”

Additionally, the authors remind readers that there are other manifestations of Lyme disease. “Other manifestations of Lyme carditis may include myopericarditis, left ventricular dysfunction, and cardiomegaly.”

Fortunately, the young man did well after treatment with IV ceftriaxone followed by oral doxycycline. He was discharged after 10 days. He completed 28 days of doxycycline.

Author’s Take Away: “First, this case illustrates that signs and symptoms of cardiac disease (palpitations, chest pain) may be the chief complaint of patients with [Lyme disease] in pediatric practice.”

Inside Lyme Podcast Series

This Inside Lyme case series will be discussed on my Facebook and made available on podcast and YouTube.  As always, it is your likes, comments, and shares that help spread the word about this series and our work. If you can, please leave a review on iTunes or wherever else you get your podcasts.

References:
  1.  Myers F, Mishra PE, Cortez D, Schleiss MR. Chest palpitations in a teenager as an unusual presentation of Lyme disease: case report. BMC Infect Dis. 2020;20(1):730.
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4 Replies to "16-year-old male with Lyme disease presenting with palpitations and chest pain"

  • Nancy Mann
    12/10/2020 (7:41 am)
    Reply

    When I suffered this lyme carditis, there were skeptical doctors and little answers. I was not believed until I insisted on an echocardiogram which showed fluid around my heart I have never heard of someone else with this condition can I know more?

  • Andrea Jackson
    12/06/2020 (5:45 pm)
    Reply

    Is there a post on how we can share this podcast in our Lyme groups? I’m not “getting it” so I think that will be a somewhat common result. Is there an announcement-what is it, Where do we go, how to listen, when?

    • Dr. Daniel Cameron
      12/07/2020 (12:59 am)
      Reply

      Thank you for the question. I am blessed to have many helpful comments and questions posted on FaceBook when I publish a blog. I am planning on recording a podcast that will address some of their questions and comments. I am not able to record the podcast live. Instead, I will be posting the podcast on my blog in 2 or 3 days.


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