No Evidence to Implicate Borrelia Burgdorferi in the Pathogenesis of Dilated Cardiomyopathy in the UK

  • David H. E. Rees
  • Phillip J. Keeling
  • William J. McKenna
  • John S. Axford
Part of the NATO ASI Series book series (NSSA, volume 260)


Lyme borreliosis (LB) is endemic in several regions of the United Kingdom1. The initial manifestations of the disease are the characteristic skin lesion, erythema migrans, and symptoms of general malaise (stage 1). This may be followed weeks to months later by acute articular, cardiac and neurological manifestations (stage II). Months to years later intermittent or continuous attacks of mono/oligoarthritis may occur (stage III). Nearly half of all patients with stage II and III LB however do not report a preceding skin rash or tick bite2.


Dilate Cardiomyopathy Lyme Disease Borrelia Burgdorferi Lyme Borreliosis Erythema Migrans 
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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • David H. E. Rees
    • 1
  • Phillip J. Keeling
    • 2
  • William J. McKenna
    • 2
  • John S. Axford
    • 1
  1. 1.Academic Rheumatology GroupUniversity of LondonCranmer Terrace LondonUK
  2. 2.Division of Cardiology St George’s Hospital Medical SchoolUniversity of LondonCranmer Terrace LondonUK

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