Matches in SemOpenAlex for { <https://semopenalex.org/work/W4363676182> ?p ?o ?g. }
Showing items 1 to 70 of
70
with 100 items per page.
- W4363676182 abstract "Lyme disease, caused by a tick-borne spirochete, Borrelia burgdorferi, is the most common vector-borne disease in the United States. Clinical manifestations can include erythema migrans, carditis, facial nerve palsy, or arthritis. A rare complication of Lyme disease is hemidiaphragmatic paralysis. The first case of this complication was documented in 1986, and since then, there have been 16 case reports associating hemidiaphragmatic paralysis with Lyme disease. This is a case of a patient found to be in atrial flutter likely resulting from left hemidiaphragmatic paralysis as a complication of Lyme disease. The patient was a 49-year-old male recently diagnosed with Lyme disease who was treated with a 10-day course of doxycycline and who presented with dyspnea and chest pain. He appeared in acute distress with tachypnea and tachycardia to 169 beats/minute but was not hypoxic. Electrocardiogram (EKG) showed atrial flutter with a rapid ventricular response (RVR). The patient was sent to the emergency department and was treated with intravenous (IV) metoprolol, followed by an IV diltiazem drip, and ultimately converted to normal sinus rhythm. Chest X-ray demonstrated an elevated left hemidiaphragm. Due to concern for Lyme carditis causing tachyarrhythmia, the patient was started on IV ceftriaxone 2 g daily. A transthoracic echocardiogram showed no valvular abnormalities and a normal ejection fraction, thus indicating a low likelihood of carditis. The patient was transitioned to oral doxycycline for an additional 17 days. During the hospital course, a fluoroscopic chest sniff test confirmed the left hemidiaphragmatic paralysis. A chest X-ray completed after two months showed persistent elevation of the left hemidiaphragm and the patient continued to have mild dyspnea. The main lesson from this case is to consider hemidiaphragmatic paralysis as a possible complication of Lyme disease." @default.
- W4363676182 created "2023-04-11" @default.
- W4363676182 creator A5004709722 @default.
- W4363676182 creator A5029398527 @default.
- W4363676182 creator A5074060789 @default.
- W4363676182 creator A5081205045 @default.
- W4363676182 date "2023-04-10" @default.
- W4363676182 modified "2023-10-18" @default.
- W4363676182 title "Atrial Flutter and Left Hemidiaphragmatic Paralysis in the Setting of Lyme Disease" @default.
- W4363676182 cites W2039350495 @default.
- W4363676182 cites W2169820109 @default.
- W4363676182 cites W2981577890 @default.
- W4363676182 cites W3006803227 @default.
- W4363676182 doi "https://doi.org/10.7759/cureus.37374" @default.
- W4363676182 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37182078" @default.
- W4363676182 hasPublicationYear "2023" @default.
- W4363676182 type Work @default.
- W4363676182 citedByCount "0" @default.
- W4363676182 crossrefType "journal-article" @default.
- W4363676182 hasAuthorship W4363676182A5004709722 @default.
- W4363676182 hasAuthorship W4363676182A5029398527 @default.
- W4363676182 hasAuthorship W4363676182A5074060789 @default.
- W4363676182 hasAuthorship W4363676182A5081205045 @default.
- W4363676182 hasBestOaLocation W43636761821 @default.
- W4363676182 hasConcept C126322002 @default.
- W4363676182 hasConcept C141071460 @default.
- W4363676182 hasConcept C159047783 @default.
- W4363676182 hasConcept C159654299 @default.
- W4363676182 hasConcept C164705383 @default.
- W4363676182 hasConcept C203014093 @default.
- W4363676182 hasConcept C2776307562 @default.
- W4363676182 hasConcept C2777553296 @default.
- W4363676182 hasConcept C2778292772 @default.
- W4363676182 hasConcept C2778704086 @default.
- W4363676182 hasConcept C2779159148 @default.
- W4363676182 hasConcept C2779161974 @default.
- W4363676182 hasConcept C42219234 @default.
- W4363676182 hasConcept C71924100 @default.
- W4363676182 hasConceptScore W4363676182C126322002 @default.
- W4363676182 hasConceptScore W4363676182C141071460 @default.
- W4363676182 hasConceptScore W4363676182C159047783 @default.
- W4363676182 hasConceptScore W4363676182C159654299 @default.
- W4363676182 hasConceptScore W4363676182C164705383 @default.
- W4363676182 hasConceptScore W4363676182C203014093 @default.
- W4363676182 hasConceptScore W4363676182C2776307562 @default.
- W4363676182 hasConceptScore W4363676182C2777553296 @default.
- W4363676182 hasConceptScore W4363676182C2778292772 @default.
- W4363676182 hasConceptScore W4363676182C2778704086 @default.
- W4363676182 hasConceptScore W4363676182C2779159148 @default.
- W4363676182 hasConceptScore W4363676182C2779161974 @default.
- W4363676182 hasConceptScore W4363676182C42219234 @default.
- W4363676182 hasConceptScore W4363676182C71924100 @default.
- W4363676182 hasLocation W43636761821 @default.
- W4363676182 hasLocation W43636761822 @default.
- W4363676182 hasLocation W43636761823 @default.
- W4363676182 hasOpenAccess W4363676182 @default.
- W4363676182 hasPrimaryLocation W43636761821 @default.
- W4363676182 hasRelatedWork W103836182 @default.
- W4363676182 hasRelatedWork W166370195 @default.
- W4363676182 hasRelatedWork W2068199230 @default.
- W4363676182 hasRelatedWork W2084847770 @default.
- W4363676182 hasRelatedWork W2086447680 @default.
- W4363676182 hasRelatedWork W2170397468 @default.
- W4363676182 hasRelatedWork W2170695182 @default.
- W4363676182 hasRelatedWork W2979399726 @default.
- W4363676182 hasRelatedWork W3190603120 @default.
- W4363676182 hasRelatedWork W67015370 @default.
- W4363676182 isParatext "false" @default.
- W4363676182 isRetracted "false" @default.
- W4363676182 workType "article" @default.