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2014 ; 63
(43
): 982-3
Nephropedia Template TP
gab.com Text
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English Wikipedia
Notes from the field: update on Lyme carditis, groups at high risk, and frequency
of associated sudden cardiac death--United States
#MMPMID25356607
Forrester JD
; Meiman J
; Mullins J
; Nelson R
; Ertel SH
; Cartter M
; Brown CM
; Lijewski V
; Schiffman E
; Neitzel D
; Daly ER
; Mathewson AA
; Howe W
; Lowe LA
; Kratz NR
; Semple S
; Backenson PB
; White JL
; Kurpiel PM
; Rockwell R
; Waller K
; Johnson DH
; Steward C
; Batten B
; Blau D
; DeLeon-Carnes M
; Drew C
; Muehlenbachs A
; Ritter J
; Sanders J
; Zaki SR
; Molins C
; Schriefer M
; Perea A
; Kugeler K
; Nelson C
; Hinckley A
; Mead P
MMWR Morb Mortal Wkly Rep
2014[Oct]; 63
(43
): 982-3
PMID25356607
show ga
On December 13, 2013, MMWR published a report describing three cases of sudden
cardiac death associated with Lyme carditis. State public health departments and
CDC conducted a follow-up investigation to determine 1) whether carditis was
disproportionately common among certain demographic groups of patients diagnosed
with Lyme disease, 2) the frequency of death among patients diagnosed with Lyme
disease and Lyme carditis, and 3) whether any additional deaths potentially
attributable to Lyme carditis could be identified. Lyme disease cases are
reported to CDC through the Nationally Notifiable Disease Surveillance System;
reporting of clinical features, including Lyme carditis, is optional. For
surveillance purposes, Lyme carditis is defined as acute second-degree or
third-degree atrioventricular conduction block accompanying a diagnosis of Lyme
disease. During 2001-2010, a total of 256,373 Lyme disease case reports were
submitted to CDC, of which 174,385 (68%) included clinical information. Among
these, 1,876 (1.1%) were identified as cases of Lyme carditis. Median age of
patients with Lyme carditis was 43 years (range = 1-99 years); 1,209 (65%) of the
patients were male, which is disproportionately larger than the male proportion
among patients with other clinical manifestations (p<0.001). Of cases with this
information available, 69% were diagnosed during the months of June-August, and
42% patients had an accompanying erythema migrans, a characteristic rash.
Relative to patients aged 55-59 years, carditis was more common among men aged
20-39 years, women aged 25-29 years, and persons aged ?75 years.