Further studies of enterovirus infections in cardiac disease and pleurodynia
Several male patients in the Yonezawa outbreak also had orchitis, which is described as a symptom of epidemic pleurodynia
(24) but may also be associated with systemic infection, although we have no evidence to support this hypothesis.
Another 3% had pleurodynia
, 3% had fever with rash, and 1% had aseptic meningitis.
Viral pleuritis or pleurodynia
may produce sharp chest pain similar in character to precordial catch syndrome, but it is usually associated with fever and cough, and is generally unrelenting.
The syndromes include gastrointestinal symptoms, poliomyelitis, perinatal enterovirus disease, myocarditis, pericarditis, pleurodynia
, respiratory illnesses, conjunctivitis, hepatitis, aseptic meningitis, encephalitis, hand-footand-mouth disease, and possibly diabetes (Morens & Pallansch, 1995).
Pain in the side of the chest may be due to pleurodynia
, inflammation of the muscles between the ribs, often due to a viral infection.