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Epidemic Pleurodynia

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Epidemic Pleurodynia, Devil's Grip, Bornholm Disease, Dabney's Grip

  • See Also
  1. Chest Pain
  2. Acute Chest Pain Approach
  3. Angina
  4. Angina Diagnosis
  5. Unstable Angina
  6. Chest Wall Pain
  7. Cardiac Risk Factors
  8. TIMI Risk Score
  9. Bosner Chest Pain Decision Rule
  10. Acute Coronary Syndrome
  11. Serum Cardiac Markers
  12. Electrocardiogram in Myocardial Infarction
  13. Echocardiogram in Myocardial Infarction
  • Epidemiology
  1. Acute Viral Infection of skeletal Muscle
    1. Coxsackie Virus B or Echovirus most common
  2. Sporadic person to person transmission
  3. May occur in epidemics
  • Symptoms
  1. Viral Prodrome
  2. Sudden onset sharp stabbing, catching Chest Pain
  3. Paroxysmal episodes
    1. Lasts 2-10 hours
    2. May recur over a 3 week period
  4. Initial diaphoresis and severe Chest Pain
    1. Difficult to distinguish from Myocardial Infarction
  • Signs
  1. Fever (over 38 degrees Celsius)
  2. Cutaneous Hyperesthesia over involved Muscles
  3. Pleural rub (rare)
  • Diagnosis
  1. Electrocardiogram normal
  2. Chest XRay normal
  3. Viral Cultures positive (throat or stool)