{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T12:08:52Z","timestamp":1713874132399},"reference-count":12,"publisher":"Akademiai Kiado Zrt.","issue":"39","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,9,1]]},"abstract":"<jats:p>A Lyme-k\u00f3r az egyik leggyakoribb antropozoonosis, a Borrelia k\u00f3rokoz\u00f3ja kullancs cs\u00edp\u00e9s\u00e9vel ker\u00fcl az emberi szervezetbe, Magyarorsz\u00e1gon \u00e9vente 10000 friss fert\u0151z\u00e9st okozva. A Lyme-k\u00f3r t\u00fcnetei \u00e9s lefoly\u00e1sa v\u00e1ltozatosak, k\u00e9s\u0151i form\u00e1ban nemritk\u00e1n carditist okoz. Eset\u00fcnkben szerol\u00f3giailag igazolt borreliosis okozott teljes atrioventricularis blokkot fiatal f\u00e9rfin\u00e9l, aki praesyncope miatt ker\u00fclt int\u00e9zet\u00fcnkbe. A blokk h\u00e1tter\u00e9ben, a k\u00f6zeli kullancscs\u00edp\u00e9sre val\u00f3 tekintettel, Lyme-carditist gyan\u00edtottunk, antibiotikum ad\u00e1s\u00e1t \u00e9s monitoros obszerv\u00e1ci\u00f3t kezdt\u00fcnk. A betegs\u00e9gre jellemz\u0151 b\u0151rt\u00fcnetek nem jelentkeztek, a laborvizsg\u00e1lat k\u00f3rosat nem igazolt. Elektrofiziol\u00f3giai vizsg\u00e1lattal domin\u00e1l\u00f3 supra-His atrioventricularis blokkot regisztr\u00e1ltunk. Az obszerv\u00e1ci\u00f3 m\u00e1snapj\u00e1t\u00f3l a blokk regresszi\u00f3t mutatott, k\u00e9s\u0151bb teljesen megjavult. Szerol\u00f3giai vizsg\u00e1lat egy \u00e9vn\u00e9l r\u00e9gebbi borreliosist igazolt. Ter\u00e1pi\u00e1s aj\u00e1nl\u00e1s a potenci\u00e1lisan reverz\u00edbilis Lyme-carditisben egyel\u0151re nincs. Fiatalokn\u00e1l rizik\u00f3faktor n\u00e9lk\u00fcl jelentkez\u0151 inger\u00fcletvezet\u00e9si zavar eset\u00e9n is c\u00e9lszer\u0171 Lyme-carditisre gondolni, seg\u00edts\u00e9get a pontos anamn\u00e9zis felv\u00e9tele \u00e9s megfelel\u0151 labordiagnosztika jelenthet, amellyel elker\u00fclhet\u0151 a pacemakerbe\u00fcltet\u00e9s. Orv. 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