LYME PERICARDITIS LEADING TO TAMPONADE |
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| Authors: | BRUYN, G. A. W. DE KONING, J REIJSOO, F. J. HOUTMAN, P. M. HOOGKAMP-KORSTANJE, J. A. A. |
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| Affiliation: | *Department of Rheumatology,Medisch Centrum Leeuwarden The Netherlands
!["{dagger}"]("/math/dagger.gif") Department of Pathology, Medisch Centrum Leeuwarden The Netherlands
!["{ddagger}"]("/math/Dagger.gif") Department of Cardiology, Medisch Centrum Leeuwarden The Netherlands
!["§"]("/math/sect.gif") Department of Medical Microbiology, Academisch Ziekenhuis Nijmegen The Netherlands |
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| Abstract: | We report the case of a 62-yr-old man who presented with Lymepericarditis leading to cardiac tamponade shortly followed byan arthritis. IgM and IgG antibodies to Borrelia burgdorferiwere demonstrated in serum by indirect immunofluorescence. Borreliaburgdorferi was demonstrated and identified in pericardial fluidby indirect immunofluorescence using serum from a patient withproven Lyme disease and by a monoclonal antibody immuno-goldsilver stain. Spirochetes were also found in synovial biopsiesusing a silver stain. The tamponade was treated with pericardiocentesis;the arthritis was treated with intravenous ceftriaxone (2 gonce daily) for 14 days. The patient recovered completely withindays of commencing treatment. This case report demonstratesthat borrelial infection may lead to pericarditis and cardiactamponade. KEY WORDS: Borrelia burgdorferi infection, Arthritis, Pericarditis, Tamponade |
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