Shannon Baron

Introduction We are presenting a rare case of a man in his thirties who developed a complete heart block due to Lyme carditis, failed to improve with IV ceftriaxone, and required a permanent pacemaker. A complete heart block in Lyme disease generally resolves within a week with IV antibiotics and does not require a permanent pacemaker [1]. Lyme disease is caused by infection with the gram-negative spirochete bacteria, Borrelia burgdorferi, which is transmitted by the Ixodes tick.