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Differential Diagnosis for Fever 102

Single Most Likely Diagnosis

  • Viral upper respiratory infection: This is the most common cause of fever, especially in the range of 102°F. It is often self-limiting and can be caused by a variety of viruses such as rhinovirus, coronavirus, or influenza.

Other Likely Diagnoses

  • Bacterial pharyngitis: Caused by Group A beta-hemolytic streptococcus, this condition can present with fever, sore throat, and swollen lymph nodes.
  • Influenza: Especially during flu season, influenza can cause high fever, cough, sore throat, and body aches.
  • Urinary tract infection (UTI): While more common in women, UTIs can cause fever, dysuria, and flank pain in both genders.
  • Pneumonia: Can present with fever, cough, and shortness of breath, especially in older adults or those with underlying lung disease.

Do Not Miss Diagnoses

  • Meningitis: Although less common, meningitis is a life-threatening condition that requires immediate attention. It can present with fever, headache, stiff neck, and altered mental status.
  • Sepsis: A systemic infection that can lead to organ failure if not promptly treated. It may present with fever, tachycardia, tachypnea, and hypotension.
  • Appendicitis: Abdominal pain, fever, and vomiting can be symptoms of appendicitis, which requires surgical intervention.
  • Endocarditis: Especially in patients with a history of heart disease or intravenous drug use, endocarditis can present with fever, new heart murmur, and embolic phenomena.

Rare Diagnoses

  • Lymphoma: Certain types of lymphoma can present with prolonged fever, night sweats, and weight loss.
  • Tuberculosis: Can cause chronic fever, cough, and weight loss, especially in immunocompromised individuals or those from endemic areas.
  • Brucellosis: A zoonotic infection that can cause fever, fatigue, and swelling, often related to exposure to infected animals or their products.
  • Familial Mediterranean fever: A genetic disorder that causes recurrent episodes of fever, often accompanied by abdominal, chest, or joint pain.

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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