Anaplasmosis related to cardiac issues

Anaplasmosis related to cardiac issues

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There have solely been a couple of reported circumstances of myocarditis occurring in people with anaplasmosis. In a latest research, investigators describe a 61-year-old man who was identified with myopericarditis associated to anaplasmosis. The affected person additionally examined optimistic for Lyme disease.


Over the past a number of years, there was a three-fold enhance within the variety of anaplasmosis circumstances in america. The tick-borne sickness may be transmitted by the chew of an contaminated blacklegged (deer) tick and causes flu-like signs, just like these seen in Lyme disease. Anaplasmosis has solely not often been related to cardiac issues.

The article “Tick-Borne Myopericarditis with Positive Anaplasma, Lyme, and Epstein Barr Virus (EBV) Serology: A Case Report,” by Arshad and colleagues encompasses a 61-year-old man, from New Jersey, who offered to the emergency division with fever, chills, myalgia, nausea, vomiting, and diarrhea.¹ He additionally had lightheadedness and shortness of breath. His signs had been ongoing for 2 weeks.

The person’s medical historical past included hypertension, hyperlipidemia, and coronary artery illness. “Additional history-taking revealed a latest historical past of a tick present in his garments.” He was subsequently handled efficiently with doxycycline.

“This case highlights an unusual presentation of carditis in acute Lyme and anaplasma infections with the related false-positive serology of EBV.”

Optimistic take a look at outcomes later confirmed acute Lyme disease and anaplasma infections, together with a optimistic serology of Epstein Barr virus.

In line with the authors, “Electrocardiography (EKG) was notable for tachycardia with world gentle ST elevations all through the EKG.” And, a light troponin leakage was current, which progressed to septic shock and required vasopressor remedy.

“On this case, the probably prognosis is myopericarditis associated to anaplasmosis. Nonetheless, the presence of overlapping Lyme disease can’t be ascertained.”

Authors’ Takeaways:

  • “In endemic areas as within the Northeastern United States, tick-borne carditis ought to all the time be included within the differential prognosis.”
  • “Lack of different scientific manifestations of Lyme disease together with rash historical past shouldn’t immediate exclusion of Lyme disease from the differential prognosis.”
  • “Medical presentation may be probably deadly with cardiogenic shock. Nonetheless, immediate initiation of antibiotic remedy, i.e. doxycycline often leads to speedy scientific enchancment.”
  • “The EBV serology may be falsely optimistic amongst these with acute Lyme disease.”


  1. Arshad H, Oudah B, Mousa A, Kakhktsyan T, Abu-Abaa M, Agarwal A. Tick-Borne Myopericarditis With Optimistic Anaplasma, Lyme, and Epstein Barr Virus (EBV) Serology: A Case Report. Cureus. 2023 Jun 14;15(6):e40440. doi: 10.7759/cureus.40440. PMID: 37456368; PMCID: PMC10349210.

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