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Images in cardiology
Cardiac MRI of Lyme disease myocarditis
  1. Ben Maher,
  2. David Murday,
  3. Stephen P Harden
  1. Department of Cardiothoracic Radiology, University Hospital Southampton NHS Foundation Trust, Southampton, UK
  1. Correspondence to Dr Stephen P Harden, Department of Cardiothoracic Radiology, University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UK; stephen.harden{at}suht.swest.nhs.uk

https://doi.org/10.1136/heartjnl-2011-301070

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    A 41-year-old man presented with chest pain and recent flu-like illness. ECG demonstrated inferolateral ST elevation and troponin I level was raised. A diagnosis of myocardial infarction was made and intravenous thrombolysis was administered. Catheter angiography did not demonstrate significant coronary artery disease, so cardiac MRI was performed to clarify the diagnosis.

    Late gadolinium enhancement (LGE) images revealed multiple discreet band-like regions of …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.