![]() Nevertheless, few cases of mortality have been reported in the literature. Usually, Lyme carditis is associated with conduction disturbances and is a treatable condition. burgdorferi as the causative agent for his fulminant carditis and that the patient suffered fatal Lyme carditis. In the cardiac tissue, Borrelia burgdorferi was identified via special stains, immunohistochemistry, and polymerase chain reaction. Postmortem examination was remarkable for diffuse pancarditis characterized by extensive infiltrates of lymphocytes and focal interstitial fibrosis. ![]() We describe a case of a 17-year-old adolescent who died unexpectedly after a 3-week viral-like syndrome. Of the many systemic manifestations of Lyme disease, cardiac involvement is uncommon and rarely causes mortality. Lyme disease is a systemic infection commonly found in the northeastern, mid-Atlantic, and north-central regions of the United States.
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