Strep throat differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Strep throat}} | {{Strep throat}} | ||
{{CMG}}{{AE}}{{AA}} | {{CMG}}; {{AE}} {{AA}} | ||
==Overview== | ==Overview== | ||
Streptococcal throat infection must be differentiated from [[epiglottitis]], [[peritonsillar abscess]], [[retropharyngeal abscess]], [[viral pharyngitis]], [[coxsackie virus]] ([[herpangina]]), [[influenza]] and [[EBV]]. | |||
==Differential diagnosis== | ==Differential diagnosis== | ||
Strep throat must be differentiated from other diseases that cause sore throat and fever:<ref name="pmid8801491">{{cite journal| author=Ruppert SD| title=Differential diagnosis of common causes of pediatric pharyngitis. | journal=Nurse Pract | year= 1996 | volume= 21 | issue= 4 | pages= 38-42, 44, 47-8 | pmid=8801491 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8801491 }} </ref><ref name="pmid22965026">{{cite journal| author=Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G et al.| title=Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2012 | volume= 55 | issue= 10 | pages= e86-102 | pmid=22965026 | doi=10.1093/cid/cis629 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22965026 }} </ref> | Strep throat must be differentiated from other diseases that cause [[sore throat]] and [[fever]]:<ref name="pmid8801491">{{cite journal| author=Ruppert SD| title=Differential diagnosis of common causes of pediatric pharyngitis. | journal=Nurse Pract | year= 1996 | volume= 21 | issue= 4 | pages= 38-42, 44, 47-8 | pmid=8801491 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8801491 }} </ref><ref name="pmid22965026">{{cite journal| author=Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G et al.| title=Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2012 | volume= 55 | issue= 10 | pages= e86-102 | pmid=22965026 | doi=10.1093/cid/cis629 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22965026 }} </ref> | ||
*[[Epiglottitis]] | *[[Epiglottitis]] | ||
*[[Peritonsillar abscess]] | *[[Peritonsillar abscess]] | ||
*[[Retropharyngeal abscess]] | *[[Retropharyngeal abscess]] | ||
*Viral pharyngitis | *[[Viral pharyngitis]] | ||
:*[[Coxsackie virus]]([[herpangina]]) | :*[[Coxsackie virus]] ([[herpangina]]) | ||
:*[[Influenza]] | :*[[Influenza]] | ||
:*[[EBV]] | :*[[EBV]] | ||
| Line 20: | Line 20: | ||
:*[[Parainfluenza viruses]] | :*[[Parainfluenza viruses]] | ||
:*[[Coronaviruses]] | :*[[Coronaviruses]] | ||
:*[[Rhinoviruses]] | :*[[Rhinovirus|Rhinoviruses]] | ||
:*[[Respiratory syncytial virus]] | :*[[Respiratory syncytial virus]] | ||
*Bacterial pharyngitis | *[[Bacterial pharyngitis]] | ||
:*[[Gonorrhea]] | :*[[Gonorrhea]] | ||
:*[[Diphtheria]] | :*[[Diphtheria]] | ||
:*[[Tularemia]] | :*[[Tularemia]] | ||
:*[[Mycoplasma pneumoniae]] | :*[[Mycoplasma pneumoniae]] | ||
*Other causes of pharyngitis | *Other causes of [[pharyngitis]] | ||
:*Foreign body ( | :*Foreign body (e.g., fish bone) | ||
:*Chemical exposure | :*Chemical exposure | ||
:*Referred pain( | :*[[Referred pain]] (e.g., [[dental abscess]], [[otitis media]]) | ||
:*[[GERD]] | :*[[GERD]] | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Pediatrics]] | |||
[[Category:Otolaryngology]] | |||
Latest revision as of 00:18, 30 July 2020
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Strep throat Microchapters |
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Strep throat differential diagnosis On the Web |
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American Roentgen Ray Society Images of Strep throat differential diagnosis |
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Risk calculators and risk factors for Strep throat differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
Streptococcal throat infection must be differentiated from epiglottitis, peritonsillar abscess, retropharyngeal abscess, viral pharyngitis, coxsackie virus (herpangina), influenza and EBV.
Differential diagnosis
Strep throat must be differentiated from other diseases that cause sore throat and fever:[1][2]
- Other causes of pharyngitis
- Foreign body (e.g., fish bone)
- Chemical exposure
- Referred pain (e.g., dental abscess, otitis media)
- GERD
References
- ↑ Ruppert SD (1996). "Differential diagnosis of common causes of pediatric pharyngitis". Nurse Pract. 21 (4): 38–42, 44, 47–8. PMID 8801491.
- ↑ Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G; et al. (2012). "Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America". Clin Infect Dis. 55 (10): e86–102. doi:10.1093/cid/cis629. PMID 22965026.