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.
Table 1 Characteristics of precordial catch syndrome Sudden onset Occurs most frequently at rest Very well localized Sharp, stabbing, needlelike pain Exacerbated by deep breathing Each episode lasts for 30 seconds to 3 minutes Sudden, complete resolution No associated symptoms No abnormal physical findings Table 2 Differential diagnosis of chest pain Cardiac causes Angina pectoris Pericarditis Mitral valve prolapse Supraventricular tachycardia Pulmonary causes Pneumonia Asthma Pleurodynia
Pneumothorax Gastrointestinal causes Gastritis Esophagitis Chest wall causes Trauma Muscle strain Inflammatory costochondritis Chest wall syndrome Slipping rib syndrom (a) Other causes Sickle cell disease Substance abuse (cocaine) (a) For a description of slipping rib syndrome, see Porter GE.
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.
She had a condition called pleurodynia
, an inflammation of the surface covering the lungs, the pleurae.
To the Editor: Although most human enterovirus (EV) (genus Enterovirus, family Picornaviridae) infections are asymptomatic, they can cause upper respiratory illness, febrile rash, aseptic meningitis, pleurodynia
, encephalitis, acute flaccid paralysis, and neonatal sepsislike disease (1).