title: Chest wall myositis in a patient with acute coronary syndrome.
abstract: We describe a case of a 42-year-old man who presented to the emergency department with severe left-sided chest pain and chest tenderness of 1-day duration. The pain was episodic and was aggravated by any chest wall movement. His initial blood tests and ECG were suggestive of acute coronary syndrome (ACS). However, his pattern of pain, lack of response to opiates, raised creatine kinase and signs of pleurisy on chest radiograph raised a suspicion of an alternative diagnosis. The patient showed a dramatic response in pain relief to non-steroidal anti-inflammatory medication. He was suspected to have chest wall myositis with pleural involvement in the form of pleurodynia. His serology test was positive for coxsackie virus antibodies. We will discuss in this case report the pathognomonic features, diagnosis and treatment of a rare infectious condition known as Bornholm disease.
authors.affiliation: Rashid Hospital Trauma Center, Dubai, UAE.
authors.forename: Laila
authors.identifier: http://orcid.org/0000-0003-4339-0881
authors.initials: L
authors.lastname: Hussein
authors.affiliation: St Thomas' Hospital, London, UK.
authors.forename: Harith
authors.initials: H
authors.lastname: Al-Rawi
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications*; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002637:Chest Pain / Q000188:drug therapy / Q000209:etiology; D003384:Coxsackievirus Infections / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009220:Myositis / Q000175:diagnosis* / Q000188:drug therapy / Q000821:virology; D011000:Pleurodynia, Epidemic / Q000150:complications / Q000175:diagnosis* / Q000821:virology; D035441:Thoracic Wall
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal