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World J Pediatr Congenit Heart Surg. 2016 May;7(3):394-6. doi: 10.1177/2150135115593134. Epub 2015 Dec 23.

Cardiac Magnetic Resonance Characterizes Myocarditis in a 16-Year-Old Female With Lyme Disease.

Author information

1
Division of Cardiology, St Christopher's Hospital for Children, Philadelphia, PA, USA Division of Cardiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA catherine.avitabile@tenethealth.com.
2
Division of Cardiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA Departments of Pediatrics and Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
3
Lancaster General Health, Lancaster General Hospital, Lancaster, PA, USA.

Abstract

Myocarditis may occur during early disseminated Lyme disease. A 16-year-old girl with serologic evidence of Borrelia burgdorferi infection and transient first-degree atrioventricular block underwent cardiac magnetic resonance imaging, which demonstrated myocardial hyperemia, edema, and delayed gadolinium enhancement. We discuss the use of T1- and T2-weighted dark blood sequences in addition to inversion recovery delayed enhancement imaging to support the diagnosis of Lyme myocarditis.

KEYWORDS:

Lyme disease; cardiac magnetic resonance; delayed enhancement; myocarditis

PMID:
26701623
DOI:
10.1177/2150135115593134
[Indexed for MEDLINE]

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