Chest pain is a major symptom of pleurisy along with difficulty breathing, explains WebMD. Pleurisy due to a viral infection may include typical viral symptoms, such as muscle aches, fever and headache.
Those with pleurisy generally experience chest pain that begins suddenly, according to WebMD. The chest pain usually becomes worse with breathing, sneezing, coughing or suddenly moving. It typically occurs on one side of the chest and may extend to the belly or shoulder.
If the pleurisy causes fluid to build up in the pleural cavity, this causes pleural effusion, explains WebMD. Symptoms of pleural effusion include chest pain, difficulty breathing, a dry cough and fever. The chest pain may decrease due to the excess fluid.