ArticleCase reports in infectious diseases2026
A Case of Jarisch-Herxheimer Reaction After Ceftriaxone Initiation for Lyme Carditis in Postpartum Female.
Article in Case reports in infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- A Case of Jarisch-Herxheimer Reaction After Ceftriaxone Initiation for Lyme Carditis in Postpartum Female.Case reports in infectious diseases · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Lyme carditis is a complication occurring in 1%-5% of Lyme disease infections. It can lead to life-threatening cardiac conduction abnormalities. Treatment with antibiotics may trigger the Jarisch-Herxheimer reaction (JHR), an acute inflammatory response to spirochetal lysis. Here, we present a 32-year-old postpartum female with complete heart block and disseminated erythema migrans who developed JHR within hours of ceftriaxone initiation, requiring vasopressor support. Hemodynamic instability resolved within 24 h, with subsequent normalization of cardiac conduction within 72 h. This case highlights the importance of recognizing JHR, distinguishing it from allergic reactions and septic shock, and avoiding unnecessary antibiotic discontinuation.
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Registered trials
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