Epidemic pleurodynia

Epidemic Pleurodynia also known as Bornholm Disease or Devil's Grip is an illness caused by the Coxsackie B virus. It is characterized by severe pain in the lower chest, often on one side.

Etiology

The disease is caused by an infection with the Coxsackie B virus, a member of the Enterovirus family. The virus is spread through respiratory droplets or fecal contamination. Outbreaks often occur in the late summer and early fall.

Symptoms

The primary symptom of epidemic pleurodynia is severe, spasmodic pain in the lower chest or upper abdomen. The pain is often unilateral and may be so severe that it is mistaken for a heart attack. Other symptoms may include fever, headache, and muscle aches.

Diagnosis

Diagnosis of epidemic pleurodynia is primarily based on the characteristic symptoms and a history of exposure to the virus. Laboratory tests, such as a polymerase chain reaction (PCR) test, can be used to confirm the diagnosis.

Treatment

There is no specific treatment for epidemic pleurodynia. Management of the disease focuses on relieving symptoms, particularly the severe pain. This can be achieved with over-the-counter pain relievers or prescription medications. Rest and hydration are also important.

Epidemiology

Epidemic pleurodynia is most common in children and young adults, but it can affect individuals of any age. Outbreaks often occur in close-knit communities or institutions, such as schools or military bases.

Prevention

Prevention of epidemic pleurodynia involves good hygiene practices, such as regular hand washing, especially after using the toilet or changing diapers. There is currently no vaccine for the Coxsackie B virus.

See also

• Coxsackie B virus
• Enterovirus
• Polymerase chain reaction