a Multiple EM lesions as an unexpected finding on admission. The patient in this case presented with a chief complaint of chest palpitations, but EM lesions were noted as an incidental finding at the time of initial physical exam upon hospital admission, involving the leg (left panel), and shoulder (right panel). Lyme ELISA and IgM western blot confirmed the diagnosis of Borrelia burgdorferi infection. b First degree AVB in pediatric Lyme carditis. The patient was noted to have first degree AVB upon initial evaluation (left panel). PR interval after hospitalization, 396 msec (right panel). PR interval remained prolonged for the first 10 days of IV antibiotics, and transient episodes of second and third degree AVB were noted, but after day 10 the patient was in a sustained sinus rhythm with normal PR interval and was transitioned to oral antibiotics
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机译：多个EM病变作为入场时意外发现。在这种情况下，患者介绍了胸部心悸的主要抱怨，但在医院入学时初始体检时，EM病变被指出作为初步体检时的偶然发现，涉及腿（左面板）和肩部（右侧面板）。 Lyme Elisa和IgM Western Blot证实了Borrelia Burgdorferi感染的诊断。 B小儿莱姆心炎中的第一度AVB。在初始评估时，患者在初始评估（左侧面板）上具有第一度AVB。住院后的PR间隔，396毫秒（右侧面板）。 Pr间隔仍然延长IV抗生素的前10天，并注意到第二和第三度AVB的瞬态发作，但第10天后，患者患有正常的PR间隔的持续窦性心律，并转变为口服抗生素
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