{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T18:08:23Z","timestamp":1781114903172,"version":"3.54.1"},"reference-count":10,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","jem-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Emergency Medicine"],"published-print":{"date-parts":[[2025,1]]},"DOI":"10.1016\/j.jemermed.2024.08.006","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T21:20:02Z","timestamp":1724361602000},"page":"84-88","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Intermittent High-Degree AV Block, Rash, and Facial Droop with Negative Lyme PCR"],"prefix":"10.1016","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1110-2332","authenticated-orcid":false,"given":"Amber N.","family":"Brooks","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jemermed.2024.08.006_bib0001","unstructured":"Centers for Disease Control and Prevention (CDC). Travelers\u2019 Health \u2013 Lyme Disease, CDC Yellow Book 2024. Available at: https:\/\/wwwnc.cdc.gov\/travel\/yellowbook\/2024\/infections-diseases\/lyme-disease. Accessed May 3, 2024."},{"key":"10.1016\/j.jemermed.2024.08.006_bib0002","unstructured":"Centers for Disease Control and Prevention (CDC). Lyme disease surveillance and data. Available at: https:\/\/www.cdc.gov\/lyme\/data-research\/facts-stats\/. Accessed September 5, 2024."},{"key":"10.1016\/j.jemermed.2024.08.006_bib0003","unstructured":"Centers for Disease Control and Prevention (CDC). Lyme disease data tables: most recent year. Available at: https:\/\/www.cdc.gov\/lyme\/data-research\/facts-stats\/surveillance-data-1.html. Accessed May 3, 2024."},{"key":"10.1016\/j.jemermed.2024.08.006_bib0004","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/j.tim.2018.05.017","article-title":"Catching up with Lyme disease antigenic variation computationally","volume":"26","author":"Norris","year":"2018","journal-title":"Trends Microbiol"},{"key":"10.1016\/j.jemermed.2024.08.006_bib0005","series-title":"StatPearls [Internet]","article-title":"Lyme carditis","author":"Rivera","year":"2024"},{"key":"10.1016\/j.jemermed.2024.08.006_bib0006","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1177\/0018578717749927","article-title":"Lyme carditis: a case report and review of management","volume":"53","author":"Muhammad","year":"2018","journal-title":"Hosp Pharm"},{"key":"10.1016\/j.jemermed.2024.08.006_bib0007","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0168613","article-title":"The accuracy of diagnostic tests for Lyme disease in humans, a systematic review and meta-analysis of North American research","volume":"11","author":"Waddell","year":"2016","journal-title":"PLoS One"},{"key":"10.1016\/j.jemermed.2024.08.006_bib0008","unstructured":"Columbia University Irving Medical Center, Lyme and Tick-Borne Diseases Research Center. Lyme disease \u2013 diagnosis. Available at: https:\/\/www.columbia-lyme.org\/diagnosis. Accessed May 3, 2024."},{"key":"10.1016\/j.jemermed.2024.08.006_bib0011","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1089\/vbz.2019.2547","article-title":"The Lyme disease polymerase chain reaction test has low sensitivity","volume":"20","author":"Nigrovic","year":"2020","journal-title":"Vector Borne Zoonotic Dis"},{"key":"10.1016\/j.jemermed.2024.08.006_bib0010","doi-asserted-by":"crossref","first-page":"612","DOI":"10.15585\/mmwr.mm7017a2","article-title":"Emergency department visits for tick bites \u2013 United States, January 2017\u2013December 2019","volume":"70","author":"Marx","year":"2021","journal-title":"MMWR Morb Mortal Wkly Rep"}],"container-title":["The Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0736467924002543?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0736467924002543?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T19:13:56Z","timestamp":1737314036000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0736467924002543"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":10,"alternative-id":["S0736467924002543"],"URL":"https:\/\/doi.org\/10.1016\/j.jemermed.2024.08.006","relation":{},"ISSN":["0736-4679"],"issn-type":[{"value":"0736-4679","type":"print"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Intermittent High-Degree AV Block, Rash, and Facial Droop with Negative Lyme PCR","name":"articletitle","label":"Article Title"},{"value":"The Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jemermed.2024.08.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}