PMC7292967_01
Dorsal targetoid lesion with centralized clearing (erythema migrans chronicum).
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Physical exam revealed multiple large targetoid lesions on the lower extremities, upper extremities, and back (Figure 1).
ECG demonstrating sinus rhythm with second-degree AV block (Mobitz Type I).
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I (Figure 2). Inpatient telemetry demonstrated episodes of high-grade AV block (Figure 3).
Telemetry demonstrating high-grade AV block.
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I (Figure 2). Inpatient telemetry demonstrated episodes of high-grade AV block (Figure 3).
ECG demonstrating sinus bradycardia with first-degree AV block.
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On the fourth day of treatment, the predominant rhythm was a first-degree AV block maintaining adequate PR interval control measured at 216 ms upon discharge (Figure 4).
Follow-up ECG demonstrating normal sinus rhythm and resolution of AV block.
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Patient follow-up ECG showed a normal rate and sinus rhythm with complete resolution of the previous AV block (Figure 5).