Bornholm disease physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Bornholm disease}} | {{Bornholm disease}} | ||
{{CMG}}'''; Associate Editor(s)-in-Chief:''' Arooj Naz | {{CMG}}'''; Associate Editor(s)-in-Chief:''' [[User:AroojNaz|Arooj Naz, M.B.B.S]] | ||
==Overview== | ==Overview== | ||
Physical findings may vary amongst patients and may also vary according to | Physical findings may vary amongst patients and may also vary according to the underlying cause. If the disease is due to the [[Coxsackie virus|Coxsackie]] virus, findings such as [[oral ulcerations]], [[throat discomfort]] or [[Throat Pain|pain]], [[diarrhea]] as well as [[vomiting]] may be seen. For patients experiencing localized chest [[tenderness]], [[abdominal rigidity]] and [[Abdominal guarding|guarding]] may present difficulty performing a complete physical examination. The pain may result in [[tachycardia]]. Pulmonary symptoms include [[pleural effusion]], [[cough]], [[rhinorrhea]] and [[difficulty breathing]]. [[Fever]] may present with [[Headache|headaches]] and potentially progress to febrile [[seizures]]. | ||
== Physical Examination == | ==Physical Examination== | ||
=== General Appearance === | ===General Appearance=== | ||
Patients may appear in distress with | Patients may appear in distress with [[abdominal rigidity]] and [[Abdominal guarding|guarding]]. History of [[fever]] is also common. | ||
=== Vital Signs === | ===Vital Signs=== | ||
* [[Pulse]]: > 100/minute due to | *[[Pulse]]: > 100/minute due to chest pain | ||
* [[Temperature]]: > 38 C/100.4 F | *[[Temperature]]: > 38 C/100.4 F | ||
* Respiratory Rate: 18 breaths/minute | *[[Respiratory Rate]]: 18 breaths/minute | ||
=== Examination According to Systems === | ===Examination According to Systems=== | ||
==== [[ENT]] ==== | ====[[ENT]]==== | ||
* [[Oral ulcerations]] may be seen<ref name="pmid245041492">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> | *[[Oral ulcerations]] may be seen<ref name="pmid245041492">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> | ||
* [[Throat discomfort]]/ pain<ref name="pmid322960052">{{cite journal| author=Orimo K, Hatano K, Sato N, Okabe S, Suzuki A, Mori K | display-authors=etal| title=Clinical Characteristics of Epidemic Myalgia Associated with Human Parechovirus Type 3 during the Summer of 2019. | journal=Intern Med | year= 2020 | volume= 59 | issue= 14 | pages= 1721-1726 | pmid=32296005 | doi=10.2169/internalmedicine.4416-20 | pmc=7434534 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32296005 }}</ref> | *[[Throat discomfort]]/ pain<ref name="pmid322960052">{{cite journal| author=Orimo K, Hatano K, Sato N, Okabe S, Suzuki A, Mori K | display-authors=etal| title=Clinical Characteristics of Epidemic Myalgia Associated with Human Parechovirus Type 3 during the Summer of 2019. | journal=Intern Med | year= 2020 | volume= 59 | issue= 14 | pages= 1721-1726 | pmid=32296005 | doi=10.2169/internalmedicine.4416-20 | pmc=7434534 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32296005 }}</ref> | ||
==== [[Skin]] ==== | ====[[Skin]]==== | ||
* Rash<ref name="pmid245041496">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> | *Rash<ref name="pmid245041496">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> | ||
==== [[Cardiovascular]] ==== | ====[[Cardiovascular]]==== | ||
* [[Tachycardia]] (> 100/minute) | *[[Tachycardia]] (> 100/minute) | ||
* [[Pericardial rub]]<ref name="pmid30364740">{{cite journal| author=Lal A, Akhtar J, Isaac S, Mishra AK, Khan MS, Noreldin M | display-authors=etal| title=Unusual cause of chest pain, Bornholm disease, a forgotten entity; case report and review of literature. | journal=Respir Med Case Rep | year= 2018 | volume= 25 | issue= | pages= 270-273 | pmid=30364740 | doi=10.1016/j.rmcr.2018.10.005 | pmc=6197799 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30364740 }}</ref> | *[[Pericardial rub]]<ref name="pmid30364740">{{cite journal| author=Lal A, Akhtar J, Isaac S, Mishra AK, Khan MS, Noreldin M | display-authors=etal| title=Unusual cause of chest pain, Bornholm disease, a forgotten entity; case report and review of literature. | journal=Respir Med Case Rep | year= 2018 | volume= 25 | issue= | pages= 270-273 | pmid=30364740 | doi=10.1016/j.rmcr.2018.10.005 | pmc=6197799 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30364740 }}</ref> | ||
==== [[Pulmonary]] ==== | ====[[Pulmonary]]==== | ||
* [[Pleural effusion]]<ref name="pmid303647402">{{cite journal| author=Lal A, Akhtar J, Isaac S, Mishra AK, Khan MS, Noreldin M | display-authors=etal| title=Unusual cause of chest pain, Bornholm disease, a forgotten entity; case report and review of literature. | journal=Respir Med Case Rep | year= 2018 | volume= 25 | issue= | pages= 270-273 | pmid=30364740 | doi=10.1016/j.rmcr.2018.10.005 | pmc=6197799 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30364740 }}</ref> | *[[Pleural effusion]]<ref name="pmid303647402">{{cite journal| author=Lal A, Akhtar J, Isaac S, Mishra AK, Khan MS, Noreldin M | display-authors=etal| title=Unusual cause of chest pain, Bornholm disease, a forgotten entity; case report and review of literature. | journal=Respir Med Case Rep | year= 2018 | volume= 25 | issue= | pages= 270-273 | pmid=30364740 | doi=10.1016/j.rmcr.2018.10.005 | pmc=6197799 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30364740 }}</ref> | ||
* [[Cough]] <ref name="pmid245041493">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> | *[[Cough]]<ref name="pmid245041493">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> | ||
* [[Rhinorrhea]]<ref name="pmid245041494">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> | *[[Rhinorrhea]]<ref name="pmid245041494">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> | ||
* [[Difficulty breathing]]<ref name="pmid15420446">{{cite journal| author=FINDLAY GM, HOWARD EM| title=Coxsackie viruses and Bornholm disease. | journal=Br Med J | year= 1950 | volume= 1 | issue= 4664 | pages= 1233-6 | pmid=15420446 | doi=10.1136/bmj.1.4664.1233 | pmc=2038096 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15420446 }}</ref> | *[[Difficulty breathing]]<ref name="pmid15420446">{{cite journal| author=FINDLAY GM, HOWARD EM| title=Coxsackie viruses and Bornholm disease. | journal=Br Med J | year= 1950 | volume= 1 | issue= 4664 | pages= 1233-6 | pmid=15420446 | doi=10.1136/bmj.1.4664.1233 | pmc=2038096 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15420446 }}</ref> | ||
==== [[Neurological]]/ [[Psychological]]<ref name="pmid245041497">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> ==== | ====[[Neurological]]/ [[Psychological]]<ref name="pmid245041497">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref>==== | ||
* [[Headache]] | *[[Headache]] | ||
* [[Febrile seizures]] | *[[Febrile seizures]] | ||
==== [[Renal]] ==== | ====[[Renal]]==== | ||
* No significant findings | *No significant findings | ||
==== [[GIT]]<ref name="pmid245041495">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> ==== | ====[[GIT]]<ref name="pmid245041495">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref>==== | ||
* [[Diarrhea]] | *[[Diarrhea]] | ||
* [[Vomitting]] | *[[Vomitting]] | ||
* [[Abdominal rigidity]] and [[Abdominal guarding|guarding]] upon examination<ref name="pmid20251794">{{cite journal| author=JAMIESON WM, PRINSLEY DM| title=Bornholm disease in the tropics. | journal=Br Med J | year= 1947 | volume= 2 | issue= 4514 | pages= 47-50 | pmid=20251794 | doi=10.1136/bmj.2.4514.47 | pmc=2055212 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20251794 }}</ref> | *[[Abdominal rigidity]] and [[Abdominal guarding|guarding]] upon examination<ref name="pmid20251794">{{cite journal| author=JAMIESON WM, PRINSLEY DM| title=Bornholm disease in the tropics. | journal=Br Med J | year= 1947 | volume= 2 | issue= 4514 | pages= 47-50 | pmid=20251794 | doi=10.1136/bmj.2.4514.47 | pmc=2055212 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20251794 }}</ref> | ||
==== [[Muscular]] ==== | ====[[Muscular]]==== | ||
* Localized [[tenderness]] upon palpation<ref name="pmid303647403">{{cite journal| author=Lal A, Akhtar J, Isaac S, Mishra AK, Khan MS, Noreldin M | display-authors=etal| title=Unusual cause of chest pain, Bornholm disease, a forgotten entity; case report and review of literature. | journal=Respir Med Case Rep | year= 2018 | volume= 25 | issue= | pages= 270-273 | pmid=30364740 | doi=10.1016/j.rmcr.2018.10.005 | pmc=6197799 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30364740 }}</ref> with pain radiating around the [[intercostal space]]<ref name="pmid154204462">{{cite journal| author=FINDLAY GM, HOWARD EM| title=Coxsackie viruses and Bornholm disease. | journal=Br Med J | year= 1950 | volume= 1 | issue= 4664 | pages= 1233-6 | pmid=15420446 | doi=10.1136/bmj.1.4664.1233 | pmc=2038096 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15420446 }}</ref> | *Localized [[tenderness]] upon palpation<ref name="pmid303647403">{{cite journal| author=Lal A, Akhtar J, Isaac S, Mishra AK, Khan MS, Noreldin M | display-authors=etal| title=Unusual cause of chest pain, Bornholm disease, a forgotten entity; case report and review of literature. | journal=Respir Med Case Rep | year= 2018 | volume= 25 | issue= | pages= 270-273 | pmid=30364740 | doi=10.1016/j.rmcr.2018.10.005 | pmc=6197799 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30364740 }}</ref> with pain radiating around the [[intercostal space]]<ref name="pmid154204462">{{cite journal| author=FINDLAY GM, HOWARD EM| title=Coxsackie viruses and Bornholm disease. | journal=Br Med J | year= 1950 | volume= 1 | issue= 4664 | pages= 1233-6 | pmid=15420446 | doi=10.1136/bmj.1.4664.1233 | pmc=2038096 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15420446 }}</ref> | ||
* Generalized [[weakness]]<ref name="pmid24504149">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> | *Generalized [[weakness]]<ref name="pmid24504149">{{cite journal| author=Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC | display-authors=etal| title=Clinical features of coxsackievirus A4, B3 and B4 infections in children. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e87391 | pmid=24504149 | doi=10.1371/journal.pone.0087391 | pmc=3913601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24504149 }}</ref> | ||
* Reduced [[tendon reflexes]] may be seen in some cases<ref name="pmid32296005">{{cite journal| author=Orimo K, Hatano K, Sato N, Okabe S, Suzuki A, Mori K | display-authors=etal| title=Clinical Characteristics of Epidemic Myalgia Associated with Human Parechovirus Type 3 during the Summer of 2019. | journal=Intern Med | year= 2020 | volume= 59 | issue= 14 | pages= 1721-1726 | pmid=32296005 | doi=10.2169/internalmedicine.4416-20 | pmc=7434534 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32296005 }}</ref> | *Reduced [[tendon reflexes]] may be seen in some cases<ref name="pmid32296005">{{cite journal| author=Orimo K, Hatano K, Sato N, Okabe S, Suzuki A, Mori K | display-authors=etal| title=Clinical Characteristics of Epidemic Myalgia Associated with Human Parechovirus Type 3 during the Summer of 2019. | journal=Intern Med | year= 2020 | volume= 59 | issue= 14 | pages= 1721-1726 | pmid=32296005 | doi=10.2169/internalmedicine.4416-20 | pmc=7434534 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32296005 }}</ref> | ||
==== [[Genitourinary]] ==== | ====[[Genitourinary]]==== | ||
* No significant findings | *No significant findings | ||
==== [[Hematological]] ==== | ====[[Hematological]]==== | ||
* No significant findings | *No significant findings | ||
==References== | ==References== | ||
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[[Category:Mature chapter]] | [[Category:Mature chapter]] | ||
[[Category:Infectious diseases]] | [[Category:Infectious diseases]] | ||
[[Category: | [[Category:Up to date]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Latest revision as of 19:06, 1 December 2022
Bornholm disease Microchapters |
Diagnosis |
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Case Studies |
Bornholm disease physical examination On the Web |
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Risk calculators and risk factors for Bornholm disease physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S
Overview
Physical findings may vary amongst patients and may also vary according to the underlying cause. If the disease is due to the Coxsackie virus, findings such as oral ulcerations, throat discomfort or pain, diarrhea as well as vomiting may be seen. For patients experiencing localized chest tenderness, abdominal rigidity and guarding may present difficulty performing a complete physical examination. The pain may result in tachycardia. Pulmonary symptoms include pleural effusion, cough, rhinorrhea and difficulty breathing. Fever may present with headaches and potentially progress to febrile seizures.
Physical Examination
General Appearance
Patients may appear in distress with abdominal rigidity and guarding. History of fever is also common.
Vital Signs
- Pulse: > 100/minute due to chest pain
- Temperature: > 38 C/100.4 F
- Respiratory Rate: 18 breaths/minute
Examination According to Systems
ENT
- Oral ulcerations may be seen[1]
- Throat discomfort/ pain[2]
Skin
- Rash[3]
Cardiovascular
- Tachycardia (> 100/minute)
- Pericardial rub[4]
Pulmonary
Neurological/ Psychological[9]
Renal
- No significant findings
GIT[10]
- Diarrhea
- Vomitting
- Abdominal rigidity and guarding upon examination[11]
Muscular
- Localized tenderness upon palpation[12] with pain radiating around the intercostal space[13]
- Generalized weakness[14]
- Reduced tendon reflexes may be seen in some cases[15]
Genitourinary
- No significant findings
Hematological
- No significant findings
References
- ↑ Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC; et al. (2014). "Clinical features of coxsackievirus A4, B3 and B4 infections in children". PLoS One. 9 (2): e87391. doi:10.1371/journal.pone.0087391. PMC 3913601. PMID 24504149.
- ↑ Orimo K, Hatano K, Sato N, Okabe S, Suzuki A, Mori K; et al. (2020). "Clinical Characteristics of Epidemic Myalgia Associated with Human Parechovirus Type 3 during the Summer of 2019". Intern Med. 59 (14): 1721–1726. doi:10.2169/internalmedicine.4416-20. PMC 7434534 Check
|pmc=
value (help). PMID 32296005 Check|pmid=
value (help). - ↑ Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC; et al. (2014). "Clinical features of coxsackievirus A4, B3 and B4 infections in children". PLoS One. 9 (2): e87391. doi:10.1371/journal.pone.0087391. PMC 3913601. PMID 24504149.
- ↑ Lal A, Akhtar J, Isaac S, Mishra AK, Khan MS, Noreldin M; et al. (2018). "Unusual cause of chest pain, Bornholm disease, a forgotten entity; case report and review of literature". Respir Med Case Rep. 25 ( ): 270–273. doi:10.1016/j.rmcr.2018.10.005. PMC 6197799. PMID 30364740.
- ↑ Lal A, Akhtar J, Isaac S, Mishra AK, Khan MS, Noreldin M; et al. (2018). "Unusual cause of chest pain, Bornholm disease, a forgotten entity; case report and review of literature". Respir Med Case Rep. 25 ( ): 270–273. doi:10.1016/j.rmcr.2018.10.005. PMC 6197799. PMID 30364740.
- ↑ Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC; et al. (2014). "Clinical features of coxsackievirus A4, B3 and B4 infections in children". PLoS One. 9 (2): e87391. doi:10.1371/journal.pone.0087391. PMC 3913601. PMID 24504149.
- ↑ Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC; et al. (2014). "Clinical features of coxsackievirus A4, B3 and B4 infections in children". PLoS One. 9 (2): e87391. doi:10.1371/journal.pone.0087391. PMC 3913601. PMID 24504149.
- ↑ FINDLAY GM, HOWARD EM (1950). "Coxsackie viruses and Bornholm disease". Br Med J. 1 (4664): 1233–6. doi:10.1136/bmj.1.4664.1233. PMC 2038096. PMID 15420446.
- ↑ Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC; et al. (2014). "Clinical features of coxsackievirus A4, B3 and B4 infections in children". PLoS One. 9 (2): e87391. doi:10.1371/journal.pone.0087391. PMC 3913601. PMID 24504149.
- ↑ Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC; et al. (2014). "Clinical features of coxsackievirus A4, B3 and B4 infections in children". PLoS One. 9 (2): e87391. doi:10.1371/journal.pone.0087391. PMC 3913601. PMID 24504149.
- ↑ JAMIESON WM, PRINSLEY DM (1947). "Bornholm disease in the tropics". Br Med J. 2 (4514): 47–50. doi:10.1136/bmj.2.4514.47. PMC 2055212. PMID 20251794.
- ↑ Lal A, Akhtar J, Isaac S, Mishra AK, Khan MS, Noreldin M; et al. (2018). "Unusual cause of chest pain, Bornholm disease, a forgotten entity; case report and review of literature". Respir Med Case Rep. 25 ( ): 270–273. doi:10.1016/j.rmcr.2018.10.005. PMC 6197799. PMID 30364740.
- ↑ FINDLAY GM, HOWARD EM (1950). "Coxsackie viruses and Bornholm disease". Br Med J. 1 (4664): 1233–6. doi:10.1136/bmj.1.4664.1233. PMC 2038096. PMID 15420446.
- ↑ Lee CJ, Huang YC, Yang S, Tsao KC, Chen CJ, Hsieh YC; et al. (2014). "Clinical features of coxsackievirus A4, B3 and B4 infections in children". PLoS One. 9 (2): e87391. doi:10.1371/journal.pone.0087391. PMC 3913601. PMID 24504149.
- ↑ Orimo K, Hatano K, Sato N, Okabe S, Suzuki A, Mori K; et al. (2020). "Clinical Characteristics of Epidemic Myalgia Associated with Human Parechovirus Type 3 during the Summer of 2019". Intern Med. 59 (14): 1721–1726. doi:10.2169/internalmedicine.4416-20. PMC 7434534 Check
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