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Correction to Feldman and McNamara, N Engl J Med 343(19):1388-1398 November 9, 2000.

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Volume 344:857-858 March 15, 2001 Number 11
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Myocarditis

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by Feldman, A. M.
To the Editor: A large variety of infectious agents are associated with acute and chronic myocarditis, as discussed by Feldman and McNamara (Nov. 9 issue).1 In areas infested with vector ticks of Lyme borreliosis, infection with Borrelia burgdorferi may also be involved in myocarditis, pericarditis, and cardiac-rhythm disorders.2

The seminal description of a patient with dilated cardiomyopathy and culture of an endomyocardial-biopsy specimen that was positive for B. burgdorferi was published in the Journal.3 Specific histologic staining may also confirm the diagnosis of Lyme borreliosis in acute myocarditis; however, as with other causes of myocarditis, even negative results cannot rule . . . [Full Text of this Article]

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