epidemic myalgia


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myalgia

 [mi-al´jah]
muscular pain.
epidemic myalgia epidemic pleurodynia.

ep·i·dem·ic pleur·o·dyn·i·a

an acute infectious disease usually occurring in widespread outbreaks, characterized by paroxysms of pain, usually in the chest, and associated with strains of Coxsackievirus type B.

epidemic myalgia

a disease caused by coxsackie B virus. It is characterized by sudden acute chest or epigastric pain and fever lasting 3 to 14 days, followed by complete spontaneous recovery. Also called devil's grip, epidemic myositis, epidemic pleurodynia.

Bornholm disease

A coxsackievirus B infection first described on the Danish island of Bornholm.

Clinical findings
A usually self-limited viral illness characterised by sudden onset of spasmodic pain in the lower chest often with dyspnoea, nonspecific abdominal pain, myalgia, fever, headache and myocarditis.

DiffDx, pleuritic pain
Pulmonary embolism, pleural effusion, myocarditis, pericarditis, pneumothorax, Tietz syndrome, shingles.

DiffDx, abdominal pain
Peptic ulcer, cholecystitis, hepatitis, subphrenic abscess.

Epidemiology
Transmitted oral-faecally with shared drinks, is highly contagious, occurs in the spring and fall in temperate climates, primarily affects children and young adults and causes severe disease in neonates.

ep·i·dem·ic pleu·ro·dy·ni·a

(ep'i-dem'ik plūr'ō-din'ē-ă)
An acute infectious disease usually occurring in epidemic form, characterized by paroxysms of pain, usually in the chest, and associated with strains of coxsackievirus type B.
Synonym(s): Bornholm disease, Daae disease, devil's grip, diaphragmatic pleurisy, epidemic myalgia, epidemic myositis, myositis epidemica acuta, Sylvest disease.

epidemic myalgia

See BORNHOLM DISEASE.
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