Observations placeholder
Chest wall myositis in a patient with acute coronary syndrome
Identifier
027571
Type of Spiritual Experience
None
Background
A description of the experience
BMJ Case Rep. 2014; 2014: bcr2014206664.
Published online 2014 Oct 13. doi: 10.1136/bcr-2014-206664
PMCID: PMC4195170
PMID: 25312897
Case Report
Chest wall myositis in a patient with acute coronary syndrome
Laila Hussein1 and Harith Al-Rawi2
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.