Fatal Lyme carditis presenting as fluctuating high-grade atrioventricular block

RE: Lyme carditis and neuroborreliosis

The three cases presented in the “Practice “section of the May 25, 2020 CMAJ provide an informative discussion of the diagnosis and treatment of Lyme carditis and neuroborreliosis in a tertiary care centre. I am a retired Ontario pediatrician and coroner, having practiced for over 50 years. In the last 15 years I was a member of the Pediatric Death Review Committee of the Ontario Office of the Chief Corner.

Certain factors were common to each of these cases: …

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