Chest pain in a military recruit.


Lyme borreliosis remains an important and common vector-borne illness in the United States, Europe, and Asia. In the majority of cases, it presents as a localized rash that seldom causes further complications with antibiotic treatment. If left undetected however, various neurologic, cardiovascular, and musculoskeletal manifestations may occur. Reported here is the case of a basic military trainee who first presented with cardiac manifestations of
Lyme disease, highlighting this tick-borne illness as a rare, easily forgotten, and treatable cause of complete heart block.

South Med J. 2008 Feb;101(2):202-4. doi: 10.1097/SMJ.0b013e318160fd03. Case Reports

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