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Epidemic Pleurodynia
Pleurodynia %2F Bornholm Disease

Presentation

From the clinical presentation 53 patients were placed into two categories "typical Bornholm disease" and "atypical Bornholm disease". [ncbi.nlm.nih.gov]

Footnotes ↵ 1 A summary of the results described in this communication was presented before the Society for Pediatric Research at French Liek, Indiana, May 8, 1950. ↵ 2 Aided by a grant from the National Foundtion for Infantile Paralysis, Inc. [jimmunol.org]

Presentation Pain in the lower chest/upper abdomen: [ 1 ] Can be sudden in onset; may have spasmodic pain. Typically, it is a pleuritic-type pain exacerbated by deep breathing or movement; it can be severe enough to cause dyspnoea. [patient.info]

The clinical features of each of the three major entities encountered are presented. Viral studies point to Coxsackie B 5 virus as the common etiologic agent in the various disease entities encountered in this outbreak. [pediatrics.aappublications.org]

Entire Body System

  • Fever

    It is characterized by sudden, severe pain and tenderness, fever, headache, and anorexia. These symptoms are aggravated by movement and breathing. The lungs are not affected, and characteristically there is no cough or pleural effusion. [medical-dictionary.thefreedictionary.com]

    The disease features fever and intense abdominal and chest pains with headache. The chest pain is typically worsened by breathing or coughing. [medicine_en_ru.academic.ru]

    Sometimes, the pain and fever return after a day or two. On rare occasions, there are several recurrences of pain and fever over a period of three weeks or more. [findmeacure.com]

    Myalgia epidemic (synonym: bornholmsgat disease, epidemic pleurodynia) - an acute infectious disease that primarily affects the muscular system, accompanied spasticskie pains in the abdomen, fever. [medicalency.com]

    Characteristics include sudden, violent pain in the chest; fever; and a tendency to recurrence on the third day. Called also Bornholm disease. Copyright 2007. An Elsevier publication. All rights reserved. [web.archive.org]

  • Falling

    The disease is widespread everywhere; seasonality with rise in incidence of summer and is characteristic in the fall. The main way of transfer — fecal and oral and contact (through a nasopharynx discharge). [en.medicalmed.de]

    It would take, he says, nine days for an anvil to fall from heaven to earth; and an equal space of time would be occupied by its fall from earth to Tartarus. ‎ [books.google.ro]

    辞書 RANKING / 単語ランキング 1位 lie 2位 shape 3位 remit 4位 leave 5位 talk 6位 visit 7位 bring 8位 fall 9位 grant 10位 show HISTORY / 最近見た単語 履歴を消す epidemic pleurodynia Naprosyn INDEX / 英ナビ! [ei-navi.jp]

    It is most prevalent in late summer or early fall. It can be transmitted through swimming water, water bottles, water cups, port o potties, food, etc. Some symptoms may have occurred on the run of IMC according to my doctor. [forum.slowtwitch.com]

    Up to 90% of epidemics occur in the summer and early fall. The illness most commonly strikes people younger than age 30, although older people also may be affected. [health.harvard.edu]

  • Malaise

    The infection has_symptom severe chest pain, has_symptom fever, has_symptom malaise, has_symptom pleuritis, and has_symptom headache. ( Human Disease Ontology, DOID_10882 ) Similar Terms Downloads & Tools Genes 2 genes co-occuring with the disease epidemic [amp.pharm.mssm.edu]

    Symptoms of Epidemic Pleurodynia Severe, frequently intermittent, often pleuritic pain begins suddenly in the epigastrium, abdomen, or lower anterior chest, with fever and often headache, sore throat, and malaise. [msdmanuals.com]

    An epidemic disease caused by a coxsackievirus, characterized by paroxysmal pain in the lower chest and accompanied by fever, headache, and malaise. pleurodynia [ploo͡r′ōdin′ē·ə] Etymology: Gk, pleura + odyne, pain acute inflammation of the intercostal [medical-dictionary.thefreedictionary.com]

    Symptoms: The first symptoms are flu-like:General malaise. High fever. Headache. However, there may soon belong to worse symptoms, which comes in the attack. These are: Cough. Strong, stinging pain around the chest - usually only on one side. [medigoo.com]

  • Severe Pain

    Symptoms may include fever and headache, but the distinguishing characteristic of this disease is attacks of severe pain in the lower chest, often on one side. [en.wikipedia.org]

    It is characterized by sudden, severe pain and tenderness, fever, headache, and anorexia. These symptoms are aggravated by movement and breathing. The lungs are not affected, and characteristically there is no cough or pleural effusion. [medical-dictionary.thefreedictionary.com]

    Signs and symptoms Symptoms may include fever and headache, but the distinguishing characteristic of this disease is attacks of severe pain in the lower chest, often on one side. [3] The slightest movement of the rib cage causes a sharp increase of pain [ipfs.io]

    However, sometimes symptoms may last up to three weeks or come and go for several weeks before clearing up. The main symptom of pleurodynia is severe pain in the chest or upper abdomen. This pain often occurs on only side of the body. [healthline.com]

Respiratoric

  • Sore Throat

    Symptoms of Epidemic Pleurodynia Severe, frequently intermittent, often pleuritic pain begins suddenly in the epigastrium, abdomen, or lower anterior chest, with fever and often headache, sore throat, and malaise. [msdmanuals.com]

    Other symptoms of Bornholm disease include: tummy pain high temperature (fever) headache sore throat cough aching muscles These symptoms usually start suddenly and last for a few days. [nhs.uk]

    There is sudden onset of severe, frequently intermittent, often pleuritic pain in the epigastrium or lower anterior chest, with fever and often headache, sore throat, and malaise. The involved truncal muscles may become swollen and tender. [forum.slowtwitch.com]

    If the immune defenses are less successful, the person develops a fever or other symptoms, such as headache, nausea and vomiting, and sore throat. [health.harvard.edu]

  • Pleuritic Pain

    Pleuritic pain in the chest. 2. Paroxysmal pain and soreness of the muscles between the ribs. 3. [medical-dictionary.thefreedictionary.com]

    Infection causes severe pleuritic chest or abdominal pain. Epidemic pleurodynia may occur at any age but is most common among children. [msdmanuals.com]

    Diagnosis may be obvious in a child who has unexplained severe pleuritic pain during an epidemic. However, symptoms may be hard to distinguish from other causes of pain. [forum.slowtwitch.com]

  • Pharyngitis

    […] common in males Pathology incubation period of 2-14 days Clinical-manifestations sudden onset of sharp epigastric rib pain accentuated by movement splinting during attacks duration of symptoms: several days to weeks upper respiratory tract symptoms mild pharyngitis [anvita.info]

    […] including nausea, vomiting, diarrhea (50%); abdominal pain (usually in the epigastric area) in children Testicular pain (ie, orchitis) in 10% of males Physical Fever (97%) and appropriate heart rate response (ie, tachycardia) Respiratory system findings - Pharyngitis [emedicine.medscape.com]

    粥状動脈硬化症) 【アテローム性変性】*atheromatous degeneration (=粥腫性変性) 【アテローム塞栓症】*atheroma embolism *atheroembolism (=粥腫塞栓症) 【アトピー】*atopy *a) atopic 【アトピー性喘息】*atopic asthma 【アトピー性皮膚炎】*atopic dermatitis 【アナフィラキシー】*anaphylaxis 【アフタ】*aphtha (形 *aphthous) 【アフタ性咽頭炎】*aphthous pharyngitis [medo.jp]

  • Chest Wall Tenderness

    Four (14%) of the 28 patients presented chest wall tenderness and only one (6%) of the 18 patients tested had an elevated creatinine kinase level. [ncbi.nlm.nih.gov]

    […] during attacks, localized chest wall tenderness in the same area of pain (25%), and pleural friction rub (25%) Other potential signs associated with the coxsackievirus B infection - Otitis (25%) and dermatitis (30%) Causes The classic etiologic agent [emedicine.medscape.com]

  • Pleural Disorder

    Disorders of the pleura include Pleurisy - inflammation of the pleura that causes sharp pain with breathing Pleural effusion - excess fluid in the pleural space Pneumothorax - buildup of air or gas in the pleural space Hemothorax - buildup of blood in [icdlist.com]

Gastrointestinal

  • Abdominal Pain

    Infection causes severe pleuritic chest or abdominal pain. Epidemic pleurodynia may occur at any age but is most common among children. [msdmanuals.com]

    Other causes of upper abdominal pain or subcostal pain, including: Peptic ulcer. Cholecystitis, gallstones or hepatitis. Subphrenic abscess. Painful splenomegaly - eg, with glandular fever or splenic injury. [patient.info]

    pain. ( 13147708 ) EKMAN C.A. 1953 12 EPIDEMIC pleurodynia. ( 12992268 ) 1952 13 An outbreak of epidemic pleurodynia, with special reference to the laboratory diagnosis of Coxsackie virus infections. ( 14894727 ) LAZARUS A.S....Galbraith J.E. 1952 14 [malacards.org]

    Strong, stinging pain around the chest - usually only on one side. This gives the pain by breathing and coughing. Abdominal pain. [medigoo.com]

Cardiovascular

  • Chest Pain

    Pathol. 1. pain in the chest or side. 2. [medicine_en_ru.academic.ru]

    When to get medical help If you have chest pain, it's important to get it checked out, particularly if it's severe and comes on suddenly. Get more advice about chest pain and when to get medical help. [nhs.uk]

    Fever and characteristic abdominal or chest pain appear to be constant features of Bornholm disease. Positive faecal virus isolation are significantly high in the "typical Bornholm disease" group. [ncbi.nlm.nih.gov]

    The primary symptom of viral pleuritis is pleuritic pain; pleural friction rub may be a sign. Diagnosis is suspected in patients with pleuritic chest pain with or without systemic symptoms of viral infection. Chest x-ray is usually done. [msdmanuals.com]

Skin

  • Sweating

    The pain can be so severe that you have trouble breathing, sweat a lot and become anxious. Diagnosis Your doctor will ask about your symptoms and will examine you. [health.harvard.edu]

    The pain can be so severe that you have trouble breathing, sweat a lot, and become anxious. Diagnosis Your doctor will ask about your symptoms and will examine you. [health.am]

    増殖性糸球体腎炎】*proliferative glomerulonephritis 【増殖性心内膜炎】*vegetative endocarditis (続) 【続発性胆汁性肝硬変】*secondary biliary cirrhosis (略 PBC) (粟) 【粟粒結核】*miliary tuberculosis 【粟粒疹】*miliaria 【粟粒性無気肺】*miliary atelectasis 【粟粒動脈瘤】*miliary aneurysm 【粟粒熱】*miliary fever *sweating [medo.jp]

  • Hyperhidrosis

    […] lichenoid dermatosis (退)* 【退行形成】【退形成】*retroplasia *anaplasia 【退縮眼振】*retractory nystagmus *nystagmus of retraction (太) 【太鼓バチ状指】【太鼓バチ指】*clubbed finger =バチ状指、バチ指 (代) 【代謝疾患】*metabolic disease (体) 【体静脈狭窄】*systemic vein stenosis (多) 【多飲多食症】*polydipsia 【多汗症】*hyperhidrosis [medo.jp]

Musculoskeletal

  • Myalgia

    Concepts Disease or Syndrome (T047) MSH D011000 ICD9 074.1 ICD10 B33.0 SnomedCT 154356006, 83264000 English Bornholm Disease, Epidemic Myalgia, Epidemic Myalgias, Epidemic Pleurodynias, Myalgia, Epidemic, Myalgias, Epidemic, Pleurodynia, Epidemic, Pleurodynias [fpnotebook.com]

    From Wikidata Jump to navigation Jump to search Human disease Bamble disease Epidemic pleurisy Epidemic, myositis devil's grip epidemic myalgia Bornholm disease edit English epidemic pleurodynia Human disease Bamble disease Epidemic pleurisy Epidemic, [wikidata.org]

    In 1933, Ejnar Sylvest gave a doctoral thesis describing a Danish outbreak of this disease on Bornholm Island entitled, "Bornholm disease-myalgia epidemica", and this name has persisted. [en.wikipedia.org]

    Convert to ICD-10-CM : 074.1 converts directly to: 2015/16 ICD-10-CM B33.0 Epidemic myalgia Applies To Bornholm disease Devil's grip Epidemic: myalgia myositis ICD-9-CM Volume 2 Index entries containing back-references to 074.1 : ICD-9-CM codes are used [icd9data.com]

    The… … Medical dictionary Myalgia, epidemic — Also known as Bornholm disease, this is a temporary illness that is a result of virus infection. The disease features fever and intense abdominal and chest pains with headache. [medicine_en_ru.academic.ru]

  • Muscle Spasm

    Occasionally, echovirus causes a rare condition known as epidemic pleurodynia (Bornholm pleurodynia), manifesting as pleuritis, fever, and chest muscle spasms. The condition occurs in the late summer and affects adolescents and young adults. [msdmanuals.com]

    Epidemic pleurodynia also causes fever and chest muscle spasms. Chest x-ray is usually done. Viral pleuritis resolves on its own after a few days or more. Analgesics can help relieve the pain. NOTE: This is the Consumer Version. [merckmanuals.com]

  • Back Pain

    pain aggravated by deep breathing and movement, and a tendency to recur at intervals of a few days. [britannica.com]

Neurologic

  • Meningism

    Cases are infrequently complicated by aseptic meningitis Aseptic meningitis Enteroviruses, along with rhinoviruses (see Common Cold) and human parechoviruses, are a genus of picornaviruses (pico, or small, RNA viruses). [msdmanuals.com]

    The clinical picture varied from typical pleurodynia and aseptic meningitis to minor illness. [link.springer.com]

    In this epidemic three main disease entities were encountered: epidemic pleurodynia, acute benign pericarditis and aseptic meningitis, alone or in combination. [pediatrics.aappublications.org]

    505 74 Aseptic Meningitis Syndrome 513 75 Acute Viral Encephalitis 521 76 Intracranial Suppuration 531 Diagnosis and Management 541 78 Myelitis and Peripheral Neuropathy 547 79 Reyes Syndrome 563 80 Progressive Multifocal Leukoencephalopathy 569 81 Cerebrospinal [books.google.de]

    Inflammation around the brain (meningitis). There may be a risk of severe illness in young babies, especially those under 1 month old (see below). [patient.co.uk]

  • Headache

    The disease features fever and intense abdominal and chest pains with headache. The chest pain is typically worsened by breathing or coughing. [medicine_en_ru.academic.ru]

    It is characterized by sudden, severe pain and tenderness, fever, headache, and anorexia. These symptoms are aggravated by movement and breathing. The lungs are not affected, and characteristically there is no cough or pleural effusion. [medical-dictionary.thefreedictionary.com]

    Medical Definition of epidemic pleurodynia : an acute epidemic form of pleurisy characterized by sudden onset with fever, headache, and acute diaphragmatic pain and caused by various Coxsackieviruses (especially serotypes of species Human enterovirus [merriam-webster.com]

    The infection has_symptom severe chest pain, has_symptom fever, has_symptom malaise, has_symptom pleuritis, and has_symptom headache. ( Human Disease Ontology, DOID_10882 ) Similar Terms Downloads & Tools Genes 2 genes co-occuring with the disease epidemic [amp.pharm.mssm.edu]

    Symptoms of Epidemic Pleurodynia Severe, frequently intermittent, often pleuritic pain begins suddenly in the epigastrium, abdomen, or lower anterior chest, with fever and often headache, sore throat, and malaise. [msdmanuals.com]

  • Irritability

    When palpation of the abdomen is painful, but the signs of peritoneal irritation is not observed. During the attack face hyperemic, sclera injected. Possible gastrointestinal disorders in the form of nausea and vomiting, diarrhea. [medicalency.com]

    Synonym(s): costalgia. [ pleuro- + G. odynē, pain] pleurodynia See BORNHOLM DISEASE. pleurodynia paroxysmal pain in the intercostal muscles due to muscular disease or irritation of the pleural surface. [medical-dictionary.thefreedictionary.com]

    […] hyperventilation 【過潅流症候群】*hyperperfusion syndrome 【過形成】*hyperplasia 【過血糖症】*hyperglycemia (=高血糖症) 【過呼吸】*hyperpnea 【過誤腫】*hamartoma 【過酸症】*chlorhydria *hyperchlorhydria (=胃酸過多症) 【過色素性】【過染色性】*hyperchromatism 【過量輸液】*hyperhydration 【過敏症】*allergy =アレルギー 【過敏性結腸】*irritable [medo.jp]

  • Chorea

    […] uveoparotitis 【ブドウ膜耳下腺性多発性神経炎=葡萄膜耳下腺性多発性神経炎】*uveoparotitic polyneuritis 【ブドウ膜耳下腺熱=葡萄膜耳下腺熱】*uveoparotid 【ブラキシズム】*bruxism (=歯軋り) (部) 【部位感覚消失】*topoanesthesia 【部分歯牙異形成症】*partial odontodysplasia 【部分性無歯症】*partial anodontia *hypodontia *oligodontia (=歯数不足症) (舞) 【舞踏病】*chorea [medo.jp]

Treatment

Bornholm disease treatment In most cases, once the diagnosis has been made and other conditions ruled out, the only treatment needed is pain relief. [patient.co.uk]

Treatment: No specific antiviral agent is available for therapy of enterovirus infections. [medigoo.com]

Prognosis

The prognosis is favorable. Prevention: sanitary-hygienic measures is the prevention of pollution by sewage, observance of rules of personal hygiene. Children in quarantine for 21 days. [medicalency.com]

Prognosis Almost all generally healthy individuals recover completely from pleurodynia. [drugs.com]

Prognosis and complications In general, the literature suggests that many or most cases are uncomplicated. [patient.info]

[…] is typical with this virus family, it is shed in large amounts in the feces of infected persons. [7] The disease can be spread by sharing drink containers, [8] and has been contracted by laboratory personnel working with the virus. [4] Treatment and prognosis [ipfs.io]

Etiology

[…] of epidemic pleurodynia: a study of two viruses isolated from a typical outbreak. ( 14774516 ) WELLER T.H....FINN J.J. 1950 19 Epidemic pleurodynia; clinical and etiologic studies based on 114 cases. ( 18112394 ) FINN J.J....MORGAN H.R. 1949 [malacards.org]

Viral studies point to Coxsackie B 5 virus as the common etiologic agent in the various disease entities encountered in this outbreak. It seems likely that the Coxsackie B viruses may be important etiologic agents in acute benign pericarditis. [pediatrics.aappublications.org]

Although a virus etiology was postulated by many observers, attempts to isolate an infectious agent of likely etiologic significance were unsuccessful until recently.In 1949 Curnen, Shaw and Melnick, 5 reporting the occurrence of the Connecticut 5 Coxsackie [nejm.org]

Coxsackie virus type A 4 recovered from the throat of one patient was for several reasons considered to be without etiological significance for the epidemic in general. [link.springer.com]

These findings indicate that these viruses are of human origin and played an etiologic role in the epidemic. [jimmunol.org]

Epidemiology

‡Medical director and chief, Section on Epidemiology, Laboratory of Infectious Diseases, National Microbiological Institute. [nejm.org]

Epidemiological observations Summary An epidemic comprising 85 cases with varying symptoms but in obvious epidemiological connection is described. [link.springer.com]

Epidemiology and control of hand, foot and mouth disease in Singapore, 2001-2007. Ann Acad Med Singapore. 2009 Feb. 38(2):106-12. [Medline]. Bergman I, Painter MJ, Wald ER, et al. [emedicine.com]

See Also: Epicurus epicuticle epicycle epicyclic train epicycloid epicycloidal gear Epidaurus epideictic epidemic epidemic encephalitis epidemic pleurodynia epidemiology epidendrum epidermis epidiascope epididymis epidiorite epidote epidural epidural [wordreference.com]

From Etiology acute infection with Coxsackie B virus other nonpolio enteroviruses, including echoviruses type 6 & 19 coxsackievirus A Epidemiology most commonly in children < 15 years 50% < 5 years 30% < 1 year more common in males Pathology incubation [anvita.info]

Pathophysiology

Pathophysiology Coxsackieviruses are transmitted primarily via the fecal-oral route and respiratory aerosols, although transmission via fomites is possible. The viruses initially replicate in the upper respiratory tract and the distal small bowel. [emedicine.com]

Pathophysiology The striated muscle is the actual anatomic structure targeted by the coxsackievirus B and is responsible for the attacks of severe chest pain. [emedicine.medscape.com]

Prevention

Babies may need preventative treatment (immunoglobulin) to help prevent complications. What is Bornholm disease? Bornholm disease is caused by an infection with a virus. This causes pain in the chest or tummy (abdomen), with flu-like symptoms. [patient.co.uk]

The best way to prevent infection is to wash hands thoroughly, especially before meals or after changing a diaper or using the bathroom. There is no vaccine to prevent pleurodynia. [drugs.com]

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