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Jutta Bergler-Klein, MD; Heinz Sochor, MD; Gerold Stanek, MD; Sebastian Globits, MD; Robert Ullrich, MD; Dietmar Glogar, MD

Arch Intern Med. 1993;153(23):2696-2700.

Abstract
Background
Lyme borreliosis is a tick-borne multisystem disorder that may present as self-limiting early or persistent chronic diseases of the skin, nervous system, joints, heart, and other organs. Cardiac involvement has mainly been reported as acute atrioventricular conduction disturbances or transient ventricular dysfunction.

Methods and Results
We treated a patient with clinical signs of acute myopericarditis and serologic evidence of Lyme borreliosis confirmed by silver staining of endomyocardial biopsy specimens and indium 111—monoclonal antimyosin antibody scan, which we believe has not been reported previously. Additionally, magnetic resonance imaging revealed epicardial and myocardial areas of increased intensity.

Conclusion
Indium 111—monoclonal antimyosin antibody scanning and magnetic resonance imaging might play an additional important role in assessing and confirming the diagnosis of Lyme carditis in the presence of clinical symptoms and positive serologic findings.

(Arch Intern Med. 1993;153:2696-2700)

Author Affiliations
From the Departments of Cardiology (Drs Bergler-Klein, Sochor, Globits, and Glogar), Hygiene (Dr Stanek), and Pathology (Dr Ullrich), University of Vienna (Austria).

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