Non-Polio enterovirus infections differential diagnosis: Difference between revisions
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!Disease | ![[Disease]] | ||
!Clinical Findings | ![[Clinical]] Findings | ||
!Para-clinical findings | ![[Para-clinical]] findings | ||
!Gold standard | ![[Gold standard]] | ||
!Additional findings | !Additional findings | ||
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|'''Influenza''' <ref name="pmid29083802">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=29083802 | doi= | pmc= | url= }}</ref> | |'''[[Influenza]]''' <ref name="pmid29083802">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=29083802 | doi= | pmc= | url= }}</ref> | ||
|Cough, fever, sore throat, headache, myalgia, runny nose, congested eyes | |[[Cough]], [[fever]], [[sore throat]], [[headache]], [[myalgia]], [[runny nose]], [[congested]] [[eyes]] | ||
|Chest X-ray may show signs of concomitant bacterial pneumonia | |[[Chest X-ray]] may show signs of concomitant [[bacterial]] [[pneumonia]] | ||
|Immunofluorescent direct and indirect antibody staining for detection of viral antigen, real-time PCR test, cell culture of upper or lower respiratory tract specimens | |[[Immunofluorescent]] direct and indirect [[antibody]] staining for detection of [[viral antigen]], real-time [[PCR]] test, [[cell culture]] of upper or lower [[respiratory tract]] specimens | ||
|Frontal or retro-orbital headache, photophobia, ocular pain, shortness of breath, tachycardia, hypotension and need for ventilation in severe cases | |[[Frontal]] or [[retro-orbital]] [[headache]], [[photophobia]], [[ocular pain]], [[shortness of breath]], [[tachycardia]], [[hypotension]] and need for [[ventilation]] in severe cases | ||
|- | |- | ||
|'''Adenovirus infection''' <ref name="pmid27486739">{{cite journal| author=Lynch JP, Kajon AE| title=Adenovirus: Epidemiology, Global Spread of Novel Serotypes, and Advances in Treatment and Prevention. | journal=Semin Respir Crit Care Med | year= 2016 | volume= 37 | issue= 4 | pages= 586-602 | pmid=27486739 | doi=10.1055/s-0036-1584923 | pmc=7171713 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27486739 }}</ref> | |'''[[Adenovirus infection]]''' <ref name="pmid27486739">{{cite journal| author=Lynch JP, Kajon AE| title=Adenovirus: Epidemiology, Global Spread of Novel Serotypes, and Advances in Treatment and Prevention. | journal=Semin Respir Crit Care Med | year= 2016 | volume= 37 | issue= 4 | pages= 586-602 | pmid=27486739 | doi=10.1055/s-0036-1584923 | pmc=7171713 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27486739 }}</ref> | ||
|Fever, pharyngitis, coryza, watery eyes | |[[Fever]], [[pharyngitis]], [[coryza]], watery eyes | ||
|Cervical adenopathy, pharyngoconjunctivitis, tonsillitis | |[[Cervical]] [[adenopathy]], [[pharyngoconjunctivitis]], [[tonsillitis]] | ||
|Viral culture, PCR | |[[Viral culture]], [[PCR]], [[viral antigen]] assay, [[serology]] | ||
|Dyspnea, gross bloody urine | |[[Dyspnea]], gross [[bloody urine]] | ||
|- | |- | ||
|'''Bacterial pharyngitis, sinusitis'''<ref name="pmid23958368">{{cite journal| author=Grief SN| title=Upper respiratory infections. | journal=Prim Care | year= 2013 | volume= 40 | issue= 3 | pages= 757-70 | pmid=23958368 | doi=10.1016/j.pop.2013.06.004 | pmc=7127764 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23958368 }}</ref> | |'''[[Bacterial]] [[pharyngitis]], [[sinusitis]]'''<ref name="pmid23958368">{{cite journal| author=Grief SN| title=Upper respiratory infections. | journal=Prim Care | year= 2013 | volume= 40 | issue= 3 | pages= 757-70 | pmid=23958368 | doi=10.1016/j.pop.2013.06.004 | pmc=7127764 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23958368 }}</ref> | ||
|Purulent nasal discharge, maxillary tooth or facial pain, worsening after initial improvement (fever, headache, increase in nasal discharge) | |[[Purulent]] [[nasal]] [[discharge]], [[maxillary]] tooth or facial [[pain]], worsening after initial improvement ([[fever]], [[headache]], increase in [[nasal]] [[discharge]]) | ||
|Unilateral maxillary sinus tenderness, pharyngeal erythema and swelling, tonsillar exudates, edematous uvula, palatine petechiae, anterior cervical lymphadenopathy | |[[Unilateral]] [[maxillary sinus]] [[tenderness]], [[pharyngeal erythema]] and [[swelling]], [[tonsillar exudates]], [[edematous]] [[uvula]], [[palatine]] [[petechiae]], anterior [[cervical lymphadenopathy]] | ||
|Nasal endoscopy or antral puncture and culture of secretions, Centor criteria | |[[Nasal endoscopy]] or [[antral puncture]] and culture of [[secretions]], [[Centor]] criteria | ||
|Ear pain/pressure/fullness, sore throat, halitosis, cough, fatigue, rheumatic fever, peritonsillar abscess, post-streptococcal glomerulonephritis and scarlet fever | |Ear [[pain]]/pressure/fullness, [[sore throat]], [[halitosis]], [[cough]], [[fatigue]], [[rheumatic fever]], [[peritonsillar abscess]], [[post-streptococcal glomerulonephritis]] and [[scarlet fever]] | ||
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|'''Allergic rhinitis''' | |'''[[Allergic rhinitis]]''' | ||
|Sneezing, rhinorrhoea, watery eyes, postnasal drip, chronic nasal congestion and obstruction<ref name="pmid26075169">{{cite journal| author=Varshney J, Varshney H| title=Allergic Rhinitis: an Overview. | journal=Indian J Otolaryngol Head Neck Surg | year= 2015 | volume= 67 | issue= 2 | pages= 143-9 | pmid=26075169 | doi=10.1007/s12070-015-0828-5 | pmc=4460099 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26075169 }}</ref>, triggers like pollen, animal dander, flooring/upholstery, molds, humidity, perfumes and/or tobacco smoke<ref name="pmid22166009">{{cite journal| author=Small P, Kim H| title=Allergic rhinitis. | journal=Allergy Asthma Clin Immunol | year= 2011 | volume= 7 Suppl 1 | issue= Suppl 1 | pages= S3 | pmid=22166009 | doi=10.1186/1710-1492-7-S1-S3 | pmc=3245436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22166009 }}</ref> | |[[Sneezing]], [[rhinorrhoea]], watery eyes, [[postnasal drip]], [[chronic nasal congestion]] and obstruction<ref name="pmid26075169">{{cite journal| author=Varshney J, Varshney H| title=Allergic Rhinitis: an Overview. | journal=Indian J Otolaryngol Head Neck Surg | year= 2015 | volume= 67 | issue= 2 | pages= 143-9 | pmid=26075169 | doi=10.1007/s12070-015-0828-5 | pmc=4460099 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26075169 }}</ref>, triggers like [[pollen]], [[animal dander]], [[flooring/upholstery]], [[molds]], [[humidity]], perfumes and/or tobacco smoke<ref name="pmid22166009">{{cite journal| author=Small P, Kim H| title=Allergic rhinitis. | journal=Allergy Asthma Clin Immunol | year= 2011 | volume= 7 Suppl 1 | issue= Suppl 1 | pages= S3 | pmid=22166009 | doi=10.1186/1710-1492-7-S1-S3 | pmc=3245436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22166009 }}</ref> | ||
|Mouth breathing, frequent sniffling/throat clearing, transverse supra-tip nasal crease and dark circles under the eyes. Swelling of the nasal mucosa and thin,clear secretions on anterior rhinoscopy<ref name="pmid221660092">{{cite journal| author=Small P, Kim H| title=Allergic rhinitis. | journal=Allergy Asthma Clin Immunol | year= 2011 | volume= 7 Suppl 1 | issue= Suppl 1 | pages= S3 | pmid=22166009 | doi=10.1186/1710-1492-7-S1-S3 | pmc=3245436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22166009 }}</ref> | |Mouth breathing, frequent sniffling/throat clearing, transverse supra-tip nasal crease and dark circles under the eyes. Swelling of the nasal mucosa and thin,clear secretions on anterior rhinoscopy<ref name="pmid221660092">{{cite journal| author=Small P, Kim H| title=Allergic rhinitis. | journal=Allergy Asthma Clin Immunol | year= 2011 | volume= 7 Suppl 1 | issue= Suppl 1 | pages= S3 | pmid=22166009 | doi=10.1186/1710-1492-7-S1-S3 | pmc=3245436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22166009 }}</ref> | ||
|Serum testing for allergen-specific IgE or allergy skin testing<ref name="pmid25629743">{{cite journal| author=Wheatley LM, Togias A| title=Clinical practice. Allergic rhinitis. | journal=N Engl J Med | year= 2015 | volume= 372 | issue= 5 | pages= 456-63 | pmid=25629743 | doi=10.1056/NEJMcp1412282 | pmc=4324099 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25629743 }}</ref> | |[[Serum]] testing for [[allergen-specific]] [[IgE]] or [[allergy]] skin testing<ref name="pmid25629743">{{cite journal| author=Wheatley LM, Togias A| title=Clinical practice. Allergic rhinitis. | journal=N Engl J Med | year= 2015 | volume= 372 | issue= 5 | pages= 456-63 | pmid=25629743 | doi=10.1056/NEJMcp1412282 | pmc=4324099 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25629743 }}</ref> | ||
|Bluish hue of inferior turbinates, cobblestoning of the nasal mucosa, nasal polyps, eustachian tube dysfunction, allergic dermatitis, aspirin sensitivity, tender sinuses<ref name="pmid221660093">{{cite journal| author=Small P, Kim H| title=Allergic rhinitis. | journal=Allergy Asthma Clin Immunol | year= 2011 | volume= 7 Suppl 1 | issue= Suppl 1 | pages= S3 | pmid=22166009 | doi=10.1186/1710-1492-7-S1-S3 | pmc=3245436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22166009 }}</ref> | |Bluish hue of [[inferior turbinates]], cobblestoning of the [[nasal mucosa]], [[nasal polyps]], [[eustachian tube]] dysfunction, [[allergic dermatitis]], [[aspirin]] sensitivity, tender sinuses<ref name="pmid221660093">{{cite journal| author=Small P, Kim H| title=Allergic rhinitis. | journal=Allergy Asthma Clin Immunol | year= 2011 | volume= 7 Suppl 1 | issue= Suppl 1 | pages= S3 | pmid=22166009 | doi=10.1186/1710-1492-7-S1-S3 | pmc=3245436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22166009 }}</ref> | ||
|} | |} | ||
===Differential [[diagnoses]] of [[non-rhinovirus]] [[non-polio]] [[enterovirus]] [[infections]]=== | |||
== References == | == References == | ||
Revision as of 16:40, 6 February 2023
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Overview
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References
- ↑ "StatPearls". 2022. PMID 29083802.
- ↑ Lynch JP, Kajon AE (2016). "Adenovirus: Epidemiology, Global Spread of Novel Serotypes, and Advances in Treatment and Prevention". Semin Respir Crit Care Med. 37 (4): 586–602. doi:10.1055/s-0036-1584923. PMC 7171713 Check
|pmc=value (help). PMID 27486739. - ↑ Grief SN (2013). "Upper respiratory infections". Prim Care. 40 (3): 757–70. doi:10.1016/j.pop.2013.06.004. PMC 7127764 Check
|pmc=value (help). PMID 23958368. - ↑ Varshney J, Varshney H (2015). "Allergic Rhinitis: an Overview". Indian J Otolaryngol Head Neck Surg. 67 (2): 143–9. doi:10.1007/s12070-015-0828-5. PMC 4460099. PMID 26075169.
- ↑ Small P, Kim H (2011). "Allergic rhinitis". Allergy Asthma Clin Immunol. 7 Suppl 1 (Suppl 1): S3. doi:10.1186/1710-1492-7-S1-S3. PMC 3245436. PMID 22166009.
- ↑ Small P, Kim H (2011). "Allergic rhinitis". Allergy Asthma Clin Immunol. 7 Suppl 1 (Suppl 1): S3. doi:10.1186/1710-1492-7-S1-S3. PMC 3245436. PMID 22166009.
- ↑ Wheatley LM, Togias A (2015). "Clinical practice. Allergic rhinitis". N Engl J Med. 372 (5): 456–63. doi:10.1056/NEJMcp1412282. PMC 4324099. PMID 25629743.
- ↑ Small P, Kim H (2011). "Allergic rhinitis". Allergy Asthma Clin Immunol. 7 Suppl 1 (Suppl 1): S3. doi:10.1186/1710-1492-7-S1-S3. PMC 3245436. PMID 22166009.