Lyme disease and cardiac sarcoidosis: Management of associated ventricular arrhythmias

Abstract

Cardiovascular involvement in Lyme disease is a rarely occurring manifestation. Following infection with Borrelia burgdorferi, Lyme carditis typically presents as atrioventricular (AV) block during the early disseminated stage of the disease ranging from PR interval prolongation to complete heart block, typically resolving after proper antibiotic treatment. Interestingly, AV block is also common in patients with cardiac sarcoidosis (CS), and CS has been linked to Lyme disease. We report a patient who was diagnosed with Lyme carditis and ultimately developed CS.