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In about 1 in every 100 cases, it can result in Lyme carditis, which occurs when Lyme disease bacteria enter the heart tissues.

The state says it’s the first reported death from Lyme carditis in Vermont.

Heart block due to Lyme carditis can develop in minutes or hours, and is a rare but fatal complication.

Patients with Lyme carditis are treated to prevent later complications of Lyme disease and to shorten the duration of the cardiac effects.

Complications.—It may be complicated by broncho-pneumonia, albuminuria, carditis, endocarditis, and dilatation of the heart.