Bornholm disease medical therapy
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S
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Overview
Treatment includes the administration of nonsteroidal anti-inflammatory agents or the application of heat to the affected muscles.[1] In healthy people, pleurodynia is a harmless infection that goes away on its own within a few days. To treat the muscle pain, your doctor probably will recommend over-the-counter pain relievers. If necessary, narcotic pain medication can be used. Aspirin should not be given to children with pleurodynia because of the risk of Reye's syndrome, a serious reaction causing brain and liver injury in children who take aspirin during certain viral illnesses.
Medical Therapy
The knowledge of the underlying viral cause may help prevent unnecessary medications, such as broad spectrum antibiotics.
- Treatment is often symptomatic with the use of NSAIDs
- In some cases, the use of 2% Xylocaine injected intercostally after being diluted in a solution of normal saline has proved to be useful [2]
- Especially severe cases have benefitted from the use of 16 mg of morphine or the nightly use of barbiturates [3]
Some complications of the disease may be treated medically. These include:
- Acute pericarditis: treating the underlying cause [4]
- Myocarditis: Diuretics, ACE inhibitors, and Beta blockers. Heart transplant is considered in cases of no recovery [5]
- Disseminated Intravascular Coagulopathy (DIC): Heparin, Blood transfusions [6]
- Respiratory distress: increased oxygen delivery as well as avoiding any further pulmonary injury [7]
References
- ↑ http://www.intelihealth.com/IH/ihtPrint/WSIHW000/9339/24698.html?hide=t&k=basePrint#when
- ↑ 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.
- ↑ 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.
- ↑ "StatPearls". 2022. PMID 28613734.
- ↑ "StatPearls". 2022. PMID 28722877.
- ↑ Wada H, Matsumoto T, Yamashita Y (2014). "Diagnosis and treatment of disseminated intravascular coagulation (DIC) according to four DIC guidelines". J Intensive Care. 2 (1): 15. doi:10.1186/2052-0492-2-15. PMC 4267589. PMID 25520831.
- ↑ "StatPearls". 2022. PMID 28613773.