Differential Diagnosis for UTI in Teenage Female
Single Most Likely Diagnosis
- Uncomplicated Cystitis: This is the most common diagnosis for a teenage female presenting with symptoms of a UTI, such as dysuria, frequency, and urgency. The majority of cases are caused by Escherichia coli (E. coli).
Other Likely Diagnoses
- Pyelonephritis: An upper urinary tract infection that can present with symptoms such as flank pain, fever, and chills, in addition to the typical symptoms of cystitis.
- Vaginitis: Inflammation of the vagina, which can cause symptoms similar to those of a UTI, such as dysuria and discharge. Common causes include bacterial vaginosis, yeast infections, and trichomoniasis.
- Sexually Transmitted Infections (STIs): Such as chlamydia and gonorrhea, which can cause symptoms similar to those of a UTI, including dysuria and discharge.
Do Not Miss Diagnoses
- Kidney Stones: Although less common, kidney stones can cause severe pain and potentially lead to complications such as obstruction and infection.
- Sepsis: A life-threatening condition that can occur if a UTI is left untreated or if the infection spreads to the bloodstream.
- Pregnancy-Related Complications: Although less common in teenagers, it's essential to consider the possibility of pregnancy and related complications, such as ectopic pregnancy or miscarriage, which can present with similar symptoms.
Rare Diagnoses
- Tuberculosis (TB) of the Urinary Tract: A rare but potentially serious infection that can cause symptoms similar to those of a UTI, including dysuria and frequency.
- Interstitial Cystitis: A chronic condition characterized by bladder pain and frequency, which can be difficult to diagnose and treat.
- Urinary Tract Anomalies: Such as ureteropelvic junction obstruction or vesicoureteral reflux, which can increase the risk of UTIs and other complications.