Differential Diagnosis for Green Mucus
Single Most Likely Diagnosis
- Acute Bronchitis: This is often the most common cause of green mucus production, typically resulting from a viral or bacterial infection that leads to inflammation of the bronchial tubes. The green color is due to the presence of an enzyme called myeloperoxidase in white blood cells.
Other Likely Diagnoses
- Sinusitis: Inflammation or infection of the sinuses can cause the production of green mucus, which may drain into the throat or be expelled through the nose.
- Common Cold: Although the mucus is often clear in the early stages of a cold, it can turn green as the body fights off the infection.
- Chronic Obstructive Pulmonary Disease (COPD): Patients with COPD may produce green mucus due to chronic inflammation and infection of the airways.
- Pneumonia: Bacterial pneumonia, in particular, can cause the production of green or yellowish mucus.
Do Not Miss Diagnoses
- Pneumonia caused by specific bacteria (e.g., Pseudomonas aeruginosa, Klebsiella pneumoniae): These infections can be severe and require specific antibiotic treatments.
- Cystic Fibrosis: A genetic disorder that leads to the production of thick, sticky mucus that can be green due to chronic infections.
- Lung Abscess: A pocket of pus in the lung that can cause the production of foul-smelling, green mucus.
- Tuberculosis: A bacterial infection that can cause chronic cough, fever, and production of green or bloody mucus.
Rare Diagnoses
- Bronchiectasis: A condition where parts of the airways are permanently enlarged, leading to chronic infections and production of green mucus.
- Allergic Bronchopulmonary Aspergillosis (ABPA): A hypersensitivity reaction to a fungus that can cause green mucus production, typically in patients with asthma or cystic fibrosis.
- Primary Ciliary Dyskinesia: A rare genetic disorder that affects the movement of cilia in the airways, leading to chronic infections and production of green mucus.