What was the cause of Enrico Caruso's death?

In Robinson's Caruso His Life in Pictures (1958) 0-517-036800, Caruso's letter of August 3, 1920 (less than a year before his death) states that Caruso complained of "dolore in genere" -- "pain all over." The diagnosis of his doctors was "intercostal neuralgia," defined as "Nerve pain that occurs around the ribs. Numerous nerves run from the spinal cord and along the spaces between the ribs to the front of the body.

The pain may make breathing difficult or uncomfortable. " Symptoms may include left side pain, left side back pain, episodic pain, tingling, and numbness. Dorothy Park Benjamin Caruso, his second wife (married August 20, 1918) spoke with disdain of the doctors.

Caruso's manager, Mr. Gatti's view was "He was truly a victim of his own wilfulness." His symptoms were consistent with pleurisy, the fluid build up between the layers of the lung. If he had survived, several speculated he could have sung well into his sixties.

He died at 48.

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