Differential Diagnosis for Coxsackie B
Single Most Likely Diagnosis
- Viral Myocarditis: Coxsackie B virus is a common cause of viral myocarditis, which can lead to inflammation of the heart muscle, potentially resulting in cardiac dysfunction.
Other Likely Diagnoses
- Acute Viral Pericarditis: Coxsackie B virus can also cause inflammation of the pericardium, leading to chest pain and other symptoms.
- Pleurodynia (Bornholm Disease): This condition is characterized by severe chest pain and is caused by Coxsackie B virus infection.
- Aseptic Meningitis: Coxsackie B virus can cause aseptic meningitis, which presents with symptoms such as headache, fever, and stiff neck.
Do Not Miss Diagnoses
- Myopericarditis with Cardiac Tamponade: Although less common, Coxsackie B virus infection can lead to cardiac tamponade, a life-threatening condition that requires immediate medical attention.
- Severe Neurological Complications (e.g., Encephalitis, Acute Flaccid Paralysis): While rare, Coxsackie B virus infection can cause severe neurological complications that can be fatal if not promptly recognized and treated.
Rare Diagnoses
- Pancreatitis: Coxsackie B virus has been associated with pancreatitis, although this is a rare complication.
- Orchitis: Some cases of Coxsackie B virus infection have been linked to orchitis, or inflammation of the testicles.
- Hemophagocytic Lymphohistiocytosis (HLH): This rare but potentially life-threatening condition has been reported in association with Coxsackie B virus infection.