Early-onset Lyme carditis with concurrent disseminated eryth
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Lyme disease, caused by the spirochete Borrelia burgodorferi and transmitted by the Ixodes tick, is the most common vector-borne infection. The pathogenesis occurs in stages, with erythema migrans (EM), a localized target lesion at the site of tick attachment developing within days. If patients remain untreated, dissemination of the infection follows. Sequelae of this spread may include Lyme carditis and atrioventricular (AV) block. This case report demonstrates the rare combination of third-degree AV block and disseminated EM in a 21-year-old male presenting at an abnormally early stage...

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