Only rarely has death been attributed to Lyme carditis (3-6), and review of pathology reports at tissue bank A did not identify any additional confirmed cases among 20,000 cardiac specimens received since 2004.
Although Lyme carditis usually is present in conjunction with other features of the disease, such as erythema migrans, arthritis, or neurologic disease, it can be observed independently (8).
Medical examiners and pathologists should be aware that Lyme carditis is a potential, albeit rare, cause for sudden cardiac death in persons from high-incidence Lyme disease areas.
This report describes three new cases of sudden cardiac death associated with Lyme carditis.
Pathologists and medical examiners should be aware that Lyme carditis can be a cause of sudden cardiac death.