Bornholm disease
Bornholm disease, also known as epidemic pleurodynia, is a condition characterized by myositis of the abdomen or chest caused by the Coxsackie B virus or other viruses. The myositis manifests as an intermittent stabbing pain in the musculature that is seen primarily in children and young adults.
| Bornholm disease | |
|---|---|
| Other names | Epidemic pleurodynia, epidemic myalgia, devils grip, Bamble disease |
| Coxsackie B virus, the most common cause of Bornholm disease | |
| Pronunciation |
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| Specialty | Infectious diseases |
| Symptoms | intermittent pleuritic chest pain, intermittent abdominal pain, fever |
| Complications | rare complications include myocarditis, respiratory failure, hepatic necrosis with coagulopathy, and disseminated intravascular coagulopathy (DIC) |
| Duration | between one day and one week |
| Causes | Coxsackie B, Coxsackie A, Echovirus |
| Diagnostic method | clinical diagnosis after ruling out more emergent causes of chest and abdominal pain |
| Differential diagnosis | Acute appendicitis, cholecystitis, pancreatitis, pulmonary embolism, acute coronary syndrome, costochondritis, amongst others |
| Prevention | Hand hygiene |
| Treatment | NSAIDs, intercostal Lidocaine injections, symptomatic treatment |
| Prognosis | Favorable |
| Deaths | None reported |
It is named after the Danish island of Bornholm in the Baltic Sea where an outbreak was one of the first to be described.
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