A 26-year-old male residing in an urban area was rushed to the hospital with a complaint of dizziness, fatigue and chest pain from the past 2 days. History The patient reported spending time in the woods, three weeks ago. He denied any insect bite. However, two weeks before he found a tick on his bed.
Thereafter, he began to develop myalgias, fatigue and a low-grade fever. Physical examination Bradycardia No evidence of any rash or neurological abnormality Afebrile HR- 28 beats/min BP- 160/75 mmHg Laboratory data Troponins, CBC and electrolytes– Normal Investigation ECG (Cover image) The patient was managed in cardiac care, with an emergent temporary pacemaker placement along with IV ceftriaxone. Two days later, he dropped to first-degree AV block and then returned to normal sinus rhythm without any evidence of conduction disease. *This patient case is from the Docplexus Editorial Team…
