[Frontiers in Bioscience 8, s769-782, September 1, 2003]
LYME DISEASE AND THE HEART
Fadi A. Haddad and Robert B. Nadelman
Division of Infectious Diseases, Department of Medicine, New York Medical College, Valhalla, New York
FIGURES
Figure 1. Erythema migrans (EM) rash with a homogenous character. Central clearing occurs in less than half of cases of EM occurring in the US.
Figure 2. Erythema migrans rash with central clearing in a 21-year old landscaper with Lyme carditis. Borrelia burgdorferi (RFLP type 2) grew in culture from a skin biopsy performed at this site.
Figure 3. An electrocardiogram showing complete atrioventricular block (same patient whose rash is depicted in Figure 2).
Figure 4. Potential locations of conduction disturbance as indicated by various electrocardiographic studies (see Table 3) (Reprinted with the permission of The Cleveland Clinic Foundation).