Myocarditis may occur during early disseminated Lyme disease. A 16-year-old girl with serologic evidence of Borrelia burgdorferi infection and transient first-degree atrioventricular block underwent cardiac magnetic resonance imaging, which demonstrated myocardial hyperemia, edema, and delayed gadolinium enhancement. We discuss the use of T1- and T2-weighted dark blood sequences in addition to inversion recovery delayed enhancement imaging to support the diagnosis of Lyme myocarditis.
KaradagBSpiekerLESchwitterJ. Lyme carditis: restitutio ad integrum documented by cardiac magnetic resonance imaging. Cardiol Rev. 2004;12(4):185–187.
2.
MaherBMurdayDHardenSP. Cardiac MRI of Lyme disease myocarditis. Heart. 2012;98(3):264.
3.
MunkPSOrnSLarsenAI. Lyme carditis: persistent local delayed enhancement by cardiac magnetic resonance imaging. Int J Cardiol. 2007;115(3): e108–e110.
4.
FriedrichMGSechtemUSchulz-MengerJ; International Consensus Group on Cardiovascular MR in Myocarditis. Cardiovascular magnetic resonance in myocarditis: a JACC White Paper. J Am Coll Cardiol. 2009;53(17):1475–1487.