Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: October 10, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for a 15-month-old Female with Wheezing and Short Barking Cough

Single Most Likely Diagnosis

  • Croup: Justification - The short barking cough is highly suggestive of croup, a common condition in young children characterized by inflammation of the larynx and trachea, often due to a viral infection. The age of the patient and the nature of the cough are key indicators for this diagnosis.

Other Likely Diagnoses

  • Asthma: Justification - Given the patient's history of wheezing and allergies (in this case, nut allergies), asthma is a plausible diagnosis. Asthma can present with wheezing, cough, and shortness of breath, especially in the context of known allergies.
  • Reactive Airway Disease: Justification - Similar to asthma, reactive airway disease can cause wheezing and cough in response to various stimuli, including allergens. The patient's nut allergies could be a contributing factor.
  • Viral Bronchiolitis: Justification - This is a common lower respiratory tract infection in young children, often caused by the Respiratory Syncytial Virus (RSV). It can present with wheezing, cough, and sometimes a barking quality to the cough, although the latter is more characteristic of croup.

Do Not Miss Diagnoses

  • Foreign Body Aspiration: Justification - Although less likely, foreign body aspiration is a critical diagnosis not to miss, as it can cause sudden onset of wheezing, cough, and potentially life-threatening airway obstruction. The history of nut allergies increases the concern for potential aspiration of a nut or other foreign body.
  • Anaphylaxis: Justification - Given the patient's known nut allergies, anaphylaxis is a potentially life-threatening condition that must be considered, especially if the wheezing and cough are accompanied by other symptoms such as difficulty breathing, rapid heartbeat, dizziness, or a drop in blood pressure.
  • Pneumonia: Justification - Bacterial or viral pneumonia can present with cough and wheezing, among other symptoms. While less likely given the barking cough, pneumonia is a serious condition that should not be overlooked.

Rare Diagnoses

  • Congenital Anomalies of the Airway: Justification - Conditions such as tracheomalacia or laryngomalacia could potentially cause chronic or recurrent wheezing and cough. However, these are less common and typically identified earlier in life.
  • Immunodeficiency: Justification - Certain immunodeficiencies can predispose to recurrent or severe infections, which might present with wheezing and cough among other symptoms. This would be a rare consideration but important in the context of recurrent or severe infections.

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.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.