Diphtheria differential diagnosis: Difference between revisions
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==Differentiating diphtheria from other diseases== | ==Differentiating diphtheria from other diseases== | ||
===Differentiating respiratory diphtheria from other diseases=== | ===Differentiating respiratory diphtheria from other diseases=== | ||
A group of respiratory diseases can present with symptoms such as fever, sore throat, pharyngeal exudates and/or neck swelling, which may mimic [[diptheria]] infection. These include: <ref name= "CDC diphtheria"> Center for Disease Control and Prevention https://www.cdc.gov/diphtheria/downloads/dip-cklist-diag.pdf Accessed on Oct. 7, 2016. </ref> | |||
*[[Infectious mononucleosis]] due to [[EBV]] | |||
*Group A [[streptococci]] [[pharyngitis]] | |||
*[[Epiglottitis]] due to '''''[[Hemophilus influenza]] type b''''' | |||
*Viral [[pharyngitis]] due to [[influenza]], [[HSV]] or [[adenovirus]] | |||
*[[Vincent's angina]] | |||
*Oral [[candidiasis]] | |||
===Differentiating cutaneous diphtheria from other diseases=== | ===Differentiating cutaneous diphtheria from other diseases=== | ||
[[Cutaneous]] [[diphtheria]] due to '''''[[Corynebacterium diphtheria]]''''' must be differentiated from other bacteria and fungi that present with a shallow [[ulcer]] on the [[skin]]:<ref name="pmid18572973">{{cite journal |vauthors=Zeegelaar JE, Faber WR |title=Imported tropical infectious ulcers in travelers |journal=Am J Clin Dermatol |volume=9 |issue=4 |pages=219–32 |year=2008 |pmid=18572973 |doi= |url=}}</ref> | [[Cutaneous]] [[diphtheria]] due to '''''[[Corynebacterium diphtheria]]''''' must be differentiated from other bacteria and fungi that present with a shallow [[ulcer]] on the [[skin]]:<ref name="pmid18572973">{{cite journal |vauthors=Zeegelaar JE, Faber WR |title=Imported tropical infectious ulcers in travelers |journal=Am J Clin Dermatol |volume=9 |issue=4 |pages=219–32 |year=2008 |pmid=18572973 |doi= |url=}}</ref> | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
Differentiating diphtheria from other diseases
Differentiating respiratory diphtheria from other diseases
A group of respiratory diseases can present with symptoms such as fever, sore throat, pharyngeal exudates and/or neck swelling, which may mimic diptheria infection. These include: [1]
- Infectious mononucleosis due to EBV
- Group A streptococci pharyngitis
- Epiglottitis due to Hemophilus influenza type b
- Viral pharyngitis due to influenza, HSV or adenovirus
- Vincent's angina
- Oral candidiasis
Differentiating cutaneous diphtheria from other diseases
Cutaneous diphtheria due to Corynebacterium diphtheria must be differentiated from other bacteria and fungi that present with a shallow ulcer on the skin:[2]
- Bacterial causes:
- Pyoderma due to Staphylococcus aureus or Group A beta-hemolytic streptococci
- Cutaneous Leishmaniasis
- Cutaneous Anthrax due to Bacillus Anthracis
- Cutaneous mycobacterial infections due to Mycobacterium tuberculosis, Mycobacterium marinum or Mycobacterium ulcerans
References
- ↑ Center for Disease Control and Prevention https://www.cdc.gov/diphtheria/downloads/dip-cklist-diag.pdf Accessed on Oct. 7, 2016.
- ↑ Zeegelaar JE, Faber WR (2008). "Imported tropical infectious ulcers in travelers". Am J Clin Dermatol. 9 (4): 219–32. PMID 18572973.