A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis

BACKGROUND: Epidemic myalgia is a disease that presents with fever and extreme myalgia of the trunk due to an acute enterovirus infection. The trunk pain is mainly in the chest or in the epigastrium. We aimed to highlight a case of epidemic myalgia where initial diagnosis needed differentiation from...

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Autores principales: Kenzaka, Tsuneaki, Hida, Yukariko, Matsumoto, Masanori, Akita, Hozuka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4973534/
https://www.ncbi.nlm.nih.gov/pubmed/27491355
http://dx.doi.org/10.1186/s12891-016-1181-x
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author Kenzaka, Tsuneaki
Hida, Yukariko
Matsumoto, Masanori
Akita, Hozuka
author_facet Kenzaka, Tsuneaki
Hida, Yukariko
Matsumoto, Masanori
Akita, Hozuka
author_sort Kenzaka, Tsuneaki
collection PubMed
description BACKGROUND: Epidemic myalgia is a disease that presents with fever and extreme myalgia of the trunk due to an acute enterovirus infection. The trunk pain is mainly in the chest or in the epigastrium. We aimed to highlight a case of epidemic myalgia where initial diagnosis needed differentiation from acute purulent spondylitis and discitis. CASE PRESENTATION: A 33-year-old woman presented with fever, chills, and acute episodes of low back pain. The sole unusual finding was pain upon spinal percussion, limited to the 4th and 5th lumbar vertebrae. Spinal MRI showed no abnormality. Paired serum samples from disease days 4 and 15 showed a significant increase in coxsackievirus B3–neutralizing antibodies. Based on this course, we diagnosed epidemic myalgia. CONCLUSIONS: Epidemic myalgia should be considered when differentiating acute low back pain accompanied by fever.
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spelling pubmed-49735342016-08-05 A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis Kenzaka, Tsuneaki Hida, Yukariko Matsumoto, Masanori Akita, Hozuka BMC Musculoskelet Disord Case Report BACKGROUND: Epidemic myalgia is a disease that presents with fever and extreme myalgia of the trunk due to an acute enterovirus infection. The trunk pain is mainly in the chest or in the epigastrium. We aimed to highlight a case of epidemic myalgia where initial diagnosis needed differentiation from acute purulent spondylitis and discitis. CASE PRESENTATION: A 33-year-old woman presented with fever, chills, and acute episodes of low back pain. The sole unusual finding was pain upon spinal percussion, limited to the 4th and 5th lumbar vertebrae. Spinal MRI showed no abnormality. Paired serum samples from disease days 4 and 15 showed a significant increase in coxsackievirus B3–neutralizing antibodies. Based on this course, we diagnosed epidemic myalgia. CONCLUSIONS: Epidemic myalgia should be considered when differentiating acute low back pain accompanied by fever. BioMed Central 2016-08-04 /pmc/articles/PMC4973534/ /pubmed/27491355 http://dx.doi.org/10.1186/s12891-016-1181-x Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Kenzaka, Tsuneaki
Hida, Yukariko
Matsumoto, Masanori
Akita, Hozuka
A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis
title A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis
title_full A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis
title_fullStr A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis
title_full_unstemmed A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis
title_short A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis
title_sort case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4973534/
https://www.ncbi.nlm.nih.gov/pubmed/27491355
http://dx.doi.org/10.1186/s12891-016-1181-x
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