A child is diagnosed with pleurodynia caused by coxsackie B. What symptom is typically present?

In the context of pleurodynia, particularly when caused by coxsackievirus B, the symptom that is typically present is severe pleuritic chest pain. This pain is often described as sharp and is exacerbated by deep breathing or coughing. The condition, also commonly known as "Bornholm disease," is characterized by the inflammation of the muscles between the ribs, which can lead to significant discomfort that mimics the pain associated with respiratory conditions.

The association of severe chest pain with pleurodynia is a hallmark of the condition, making it a distinguishing symptom. While abdominal cramps can occur in various viral illnesses, including those caused by coxsackievirus, they are not specific to pleurodynia. Similarly, high fever with a rash is more indicative of other viral infections and not specifically tied to pleurodynia. Joint swelling is associated with other conditions, such as viral arthritis, but it is not a characteristic symptom of pleurodynia. Therefore, the severe pleuritic chest pain is the most relevant symptom in this scenario.