Abstract

Establishing the diagnosis of Brugada syndrome requires both the characteristic ECG pattern and clinical symptoms concerning for aborted sudden death. Since its discovery, there have been numerous case reports of inducible Brugadapattern ECG without Brugada syndrome. This is a case of a 62-year-old man who presented to the emergency department with fevers, chills, and an erythema migrans rash along with a Brugada-pattern ECG. The patient was found to have a fever-induced Brugada-pattern ECG secondary to anaplasmosis. The patient was also coinfected with Lyme disease and was recovering from a parasitic babesiosis infection. Treatment was initiated with complete resolution the patient’s infectious symptoms as well as resolution of his Brugada-pattern ECG.

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