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Differential Diagnosis for Sore Throat and Runny Nose

Single Most Likely Diagnosis

  • Viral Upper Respiratory Tract Infection (URTI): This is the most common cause of sore throat and runny nose, often resulting from viruses such as rhinovirus, coronavirus, or adenovirus. The symptoms are typically self-limiting and include cough, sneezing, and sometimes fever.

Other Likely Diagnoses

  • Allergic Rhinitis: This condition can cause runny nose, sneezing, and sometimes a sore throat due to postnasal drip. It's often seasonal or related to specific allergens.
  • Influenza: Although more severe, influenza can start with symptoms similar to a common cold, including sore throat and runny nose, but is typically accompanied by higher fever, body aches, and fatigue.
  • Streptococcal Pharyngitis: A bacterial infection that causes a sore throat, which can be accompanied by a runny nose if there's associated sinusitis or if the infection spreads.

Do Not Miss Diagnoses

  • Epiglottitis: A severe and potentially life-threatening condition that can cause a sore throat, difficulty swallowing, and sometimes respiratory distress. It requires immediate medical attention.
  • Lemierre's Syndrome: A rare but serious condition that starts with a sore throat and can progress to include high fever, neck pain, and swelling, due to a bacterial infection.
  • Mononucleosis (Mono): Caused by the Epstein-Barr virus, it can lead to a severe sore throat, fever, and lymphadenopathy. Although not immediately life-threatening, it can lead to complications like splenic rupture.

Rare Diagnoses

  • Diphtheria: A bacterial infection that can cause a sore throat and sometimes a runny nose, characterized by a distinctive membrane covering the tonsils and throat.
  • Tuberculosis (TB): Although rare in many parts of the world, TB can cause chronic symptoms including a sore throat and cough, among other systemic symptoms.
  • Wegener's Granulomatosis (Granulomatosis with Polyangiitis): A rare autoimmune disorder that can cause a variety of symptoms including sore throat, runny nose, and sinusitis, due to inflammation of the blood vessels.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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