Herpangina and pleurodynia are usually associated with Coxsackie A and Coxsackie B virus infections respectively.l,2 Although echoviruses and other etiological agents have also been described with these syndromes, Herpes simplex virus has not.3,4 The present case is unique in two respects; herpangina and pleurodynia occurred simultaneously in the same patient and both appear to be associated with a primary Herpes simplex virus infection.
Report of a Case
A 15-year-old Caucasian male complained of sore throat with dysphagia 5 days prior to admission to hospital and 3 days later developed increased dvsphagia, malaise, anorexia, and a temperature of 103°F. The following day he complained of distressing retrosternal and left anterior pleuritic chest pain accompanied by nausea.