TY - JOUR T1 - COmplete heart block as the sole presentation of lyme disease AU - Kimball SA, Janson PA, LaRaia PJ Y1 - 1989/08/01 N1 - 10.1001/archinte.1989.00390080141032 JO - Archives of Internal Medicine SP - 1897 EP - 1898 VL - 149 IS - 8 N2 - • We report a case of Lyme myocarditis presenting solely as complete heart block in a previously healthy 32-year-old white man. Indium cardiac antimyosin scan showed diffuse uptake (2 +, on a scale of 0 to 4+) during the acute phase of the illness. The electrocardiogram and the indium cardiac antimyosin scan were normal 6 weeks after completion of tetracycline and prednisone treatment. Lyme carditis should be considered in the differential diagnosis of complete heart block of unclear origins, even in patients presenting without other signs or symptoms suggestive of Lyme disease.(Arch Intern Med. 1989:149:1897-1898) SN - 0003-9926 M3 - doi: 10.1001/archinte.1989.00390080141032 UR - http://dx.doi.org/10.1001/archinte.1989.00390080141032 ER -