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British Heart Journal 1993;70:88-90; doi:10.1136/hrt.70.1.88
Copyright © 1993 BMJ Publishing Group Ltd & British Cardiovascular Society

Complete heart block in a 9 year old girl caused by borreliosis.

H P Gildein, S Günther, R Mocellin

Department of Paediatric Cardiology, University of Freiburg, Germany.

A complete atrioventricular block was seen in a nine year old girl in whom an infection with Borrelia burgdorferi was confirmed by serological testing. There were no other symptoms or cutaneous manifestations of the disease. Though a rash on the right ear was later recalled by her parents. The patient was treated with high dose penicillin and orciprenaline was given intermittently. The complete heart block disappeared within four days.


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