Ankit Maheshwari, MD, Robert J. Bache, MD

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Presentation transcript:

Hints of Lyme: Disseminated Borreliosis Involving the Mitral and Tricuspid Valves Ankit Maheshwari, MD, Robert J. Bache, MD The American Journal of Medicine Volume 130, Issue 10, Pages e441-e442 (October 2017) DOI: 10.1016/j.amjmed.2017.04.036 Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure (A) Twelve-lead electrocardiogram with first-degree heart block. (B) Transthoracic echocardiogram stills depicting moderate mitral and tricuspid regurgitation. (C) T1-weighted, gadolinium-enhanced brain magnetic resonance imaging with abnormal enhancement of the right facial nerve (arrow). LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle. The American Journal of Medicine 2017 130, e441-e442DOI: (10.1016/j.amjmed.2017.04.036) Copyright © 2017 Elsevier Inc. Terms and Conditions