Junctional Tachycardia in a Child with Lyme Carditis

Abstract

A 3-year-old girl presented with fatigue, fever, and rash. Tachycardia was noted and an ECG showed junctional tachycardia. Lyme titers were positive and the arrhythmia resolved with intravenous ceftriaxone.

Junctional ectopic tachycardia secondary to myocarditis associated with sudden cardiac arrest

“…In patients who survive acute fulminant myocarditis, resolution of their arrhythmia is common, with no inducible arrhythmias seen in a reported case series 3 . Prior case reports have described a neonate with enterovirus myocarditis and CHB that progressed to JET on an isoproterenol infusion, 4 Lyme carditis with initial fascicular tachycardia in a fatigued 42-year-old man, 5 and JET in an otherwise asymptomatic 3-year-old diagnosed with Lyme carditis 6 . To our knowledge, this is the first reported case describing JET as the predominant rhythm at acute presentation of fulminant myocarditis and out-of-hospital sudden cardiac arrest.…”

Lyme disease and pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS): an overview

“…Definitive diagnosis may be confirmed by punch biopsy and histologic studies 43,140,142. Carditis, also observed in pediatric LD,52,143–145 and EMR are two major criteria in ARF diagnosis 146,147. Migratory arthritis usually involving large joints is often described in LD100,148,149 and is also, coincidentally, a third major criterion in ARF 146,147…”

Myokarditis im Kindes- und Jugendalter

“…Hinsichtlich der seltenen bakteriellen Infektionen ist insbesondere im Kindesalter Borrelia burgdorferi (Lyme-Karditis) zu erwähnen [9].…”