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Epidemic Pleurodynia
Aka: Epidemic Pleurodynia, Devil's Grip, Bornholm Disease, Dabney's Grip
- See Also
- Chest Pain
- Acute Chest Pain Approach
- Angina
- Angina Diagnosis
- Unstable Angina
- Chest Wall Pain
- Cardiac Risk Factors
- TIMI Risk Score
- Bosner Chest Pain Decision Rule
- Acute Coronary Syndrome
- Serum Cardiac Markers
- Electrocardiogram in Myocardial Infarction
- Echocardiogram in Myocardial Infarction
- Epidemiology
- Acute viral infection of skeletal muscle
- Coxsackie Virus B or Echovirus most common
- Sporadic person to person transmission
- May occur in epidemics
- Symptoms
- Viral Prodrome
- Sudden onset sharp stabbing, catching Chest Pain
- Paroxysmal episodes
- Lasts 2-10 hours
- May recur over a 3 week period
- Initial diaphoresis and severe Chest Pain
- Difficult to distinguish from Myocardial Infarction
- Signs
- Fever (over 38 degrees Celsius)
- Cutaneous Hyperesthesia over involved muscles
- Pleural rub (rare)
- Diagnosis
- Electrocardiogram normal
- Chest XRay normal
- Viral Cultures positive (throat or stool)