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Clinical Pediatrics, Vol. 27, No. 6, 291-293 (1988)
DOI: 10.1177/000992288802700608

Lyme Disease Presenting as Heart Block

R. Gregg Kishaba

Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin

Elliott Weinhouse

Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin

Michael J. Chusid

Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin

Dov B. Nudel

Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin

Lyme disease is now recognized as an infectious process capable of involving multiple organs including the cardiovascular system. We recently treated a boy whose complaints on admission related only to symptomatic heart block that was severe enough to require transvenous pacing. This boy was subsequently determined to have had Lyme Disease after his medical testing was reevaluated for possible tick exposure. In rare instances symptomatic heart block may be the sole presenting complaint of Lyme Disease in children.


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