A 56-year-old male presented to the ER with dizziness and lightheadedness. On examination, Severe bradycardia Hypotension Multiple insect bites over the body Peculiar skin lesions ECG of the patient was done. His father had died of MI at the age of 42 years. Chest x ray was normal. Lab studies were normal. All of the following statements are true about the above condition except: –
Correct Answer: Drug of choice in above condition is doxycycline
Description: This is a case of cardiac involvement in Lyme's disease. 1st image shows the classical erythema chronicum migrans lesion. ECG image shows a 3rd degree hea block. Second stage of Lyme's disease New annular skin lesions Headache Fever Migratory ahralgias All categories of hea block Due to IgM antibody, false positive syphilis serology is seen. FTA-ABS test is positive VDRL is negative Management Skin, joint and 1st and 2nd degree hea block involvement - DOC is doxycycline 3rd degree hea block and CNS involvement- DOC is IV ceftriaxone
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