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Last updated: September 20, 2025View editorial policy

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Differential Diagnosis for Green Sputum

Single Most Likely Diagnosis

  • Chronic Bronchitis: This condition is characterized by the production of excess mucus, which can appear green due to the presence of pus. Chronic bronchitis is a common cause of green sputum, especially in smokers or those with a history of respiratory infections.

Other Likely Diagnoses

  • Pneumonia: Bacterial pneumonia can cause the production of green or yellowish sputum due to the presence of pus. This diagnosis is likely, especially if the patient presents with fever, cough, and shortness of breath.
  • Acute Bronchitis: Similar to chronic bronchitis, acute bronchitis can cause the production of green sputum, especially if it is caused by a bacterial infection.
  • Cystic Fibrosis: This genetic disorder can cause the production of thick, green sputum due to the abnormal production of mucus in the lungs.

Do Not Miss Diagnoses

  • Lung Abscess: A lung abscess can cause the production of foul-smelling, green sputum. This diagnosis is critical to identify, as it requires prompt antibiotic treatment and possibly drainage of the abscess.
  • Tuberculosis: Although less common, tuberculosis can cause the production of green sputum, especially if it is advanced. This diagnosis is critical to identify, as it requires specific antibiotic treatment and public health measures to prevent transmission.
  • Aspiration Pneumonia: Aspiration of food, liquids, or other substances into the lungs can cause the production of green sputum. This diagnosis is critical to identify, as it requires prompt treatment to prevent complications.

Rare Diagnoses

  • Bronchiectasis: This condition is characterized by the abnormal dilation of the bronchi, which can cause the production of green sputum. Although rare, bronchiectasis can be a cause of chronic green sputum production.
  • Allergic Bronchopulmonary Aspergillosis (ABPA): This condition is characterized by an allergic reaction to Aspergillus fungus, which can cause the production of green sputum. Although rare, ABPA can be a cause of green sputum production, especially in patients with asthma or cystic fibrosis.

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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