Epidemic Pleurodynia is characterized by intense, excruciating chest pain of acute onset, sometimes radiating into the back, shoulders, and abdomen. Attacks of pain last for seconds to 1 minute, and episodes may be separated by minutes to hours. The illness is sometimes preceded by a few days of headache, muscle ache, sore throat, fatigue, and loss of appetite. However, these associated symptoms may not occur until after the onset of the chest pain. GI symptoms such as nausea, vomiting, and diarrhea are common. About 10% of males with pleurodynia have testicular pain (orchitis) (Petrache).
Localized tenderness may be revealed upon physical examination. During episodes of severe pain, the individual may sweat profusely and appear acutely ill and apprehensive. Fever is present in most of the affected individuals, and often with associated tachycardia. Some of affected individuals may have dermatitis (Petrache).
The diagnosis is made clinically on the basis of the classical symptom complex and a normal chest x-ray study. Ventilation-perfusion (V/Q) lung scanning and D-dimer testing are usually ordered to rule out pulmonary embolism. To rule out cardiac causes of chest pain, an electrocardiogram (ECG) and cardiac isoenzymes may also be ordered.
Other tests such as:
Read more articles on Epidemic Pleurodynia
Though all possible measures have been taken to ensure accuracy, reliability, timeliness and authenticity of the information; Onlymyhealth assumes no liability for the same. Using any information of this website is at the viewers’ risk. Please be informed that we are not responsible for advice/tips given by any third party in form of comments on article pages . If you have or suspect having any medical condition, kindly contact your professional health care provider.