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. 1990 Feb;66(772):134–136. doi: 10.1136/pgmj.66.772.134

Fatal Lyme carditis and endodermal heterotopia of the atrioventricular node.

N R Cary 1, B Fox 1, D J Wright 1, S J Cutler 1, L M Shapiro 1, A A Grace 1
PMCID: PMC2429516  PMID: 2349186

Abstract

A fatal case of Lyme carditis occurring in a Suffolk farmworker is reported. Post-mortem examination of the heart showed pericarditis, focal myocarditis and prominent endocardial and interstitial fibrosis. The additional finding of endodermal heterotopia ('mesothelioma') of the atrioventricular node raises the possibility that this could also be related to Lyme infection and account for the relatively frequent occurrence of atrioventricular block in this condition. Lyme disease should always be considered in a case of atrioventricular block, particularly in a young patient from a rural area. The heart block tends to improve and therefore only temporary pacing may be required.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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