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Viral Pleuritis

ByNajib M Rahman, BMBCh MA (oxon) DPhil, University of Oxford
Reviewed/Revised Modified Jul 2025
v727706
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Viral pleuritis is a viral infection of the pleura (the thin, transparent, 2-layered membrane that covers the lungs), which typically causes chest pain when breathing or coughing.

(See also Overview of Pleural and Mediastinal Disorders.)

Viral pleuritis is most commonly caused by infection with coxsackie B virus. Occasionally, an cocksakie B or another echovirus causes a rare condition known as epidemic pleurodynia (Bornholm disease). It occurs in the summer to early fall (June through October in the Northern hemisphere, and December to March in the Southern hemisphere) and affects adolescents and young adults.

Chest pain is the primary symptom of viral pleuritis. The pain is usually worse when breathing in or coughing and is often sharp. Epidemic pleurodynia also causes fever and chest muscle spasms.

Chest x-ray is usually done.

Viral pleuritis resolves on its own after a few days or more. Analgesics can help relieve the pain.

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