Differential Diagnosis for Fever
Single Most Likely Diagnosis
- Viral Upper Respiratory Infection (URTI): This is often the most common cause of fever, especially in the context of other symptoms like cough, sore throat, and runny nose. The high prevalence of viral infections in the general population makes this a likely diagnosis.
Other Likely Diagnoses
- Bacterial Pharyngitis: Caused by Group A beta-hemolytic streptococcus, this condition presents with fever, sore throat, and can be accompanied by exudates on the tonsils. It's a common cause of fever, especially in children and young adults.
- Influenza: Characterized by sudden onset of fever, cough, sore throat, and muscle pains, influenza is a highly contagious respiratory illness that can cause significant morbidity, especially in vulnerable populations.
- Pneumonia: This can be caused by bacteria, viruses, or fungi and presents with fever, cough, and difficulty breathing. It's a common cause of fever, especially in older adults or those with compromised immune systems.
Do Not Miss Diagnoses
- Meningitis: Although less common, meningitis is a potentially life-threatening condition that requires immediate medical attention. Symptoms include fever, headache, stiff neck, and altered mental status.
- Sepsis: A systemic response to infection that can lead to organ failure if not promptly treated. Fever is often one of the earliest signs, accompanied by tachycardia, tachypnea, and potentially altered mental status.
- Appendicitis: Abdominal pain, fever, and vomiting are classic symptoms. While not all cases present typically, missing this diagnosis can lead to severe consequences, including perforation and peritonitis.
Rare Diagnoses
- Endocarditis: An infection of the heart valves, which can present with fever, new heart murmur, and embolic phenomena. It's rare but critical to diagnose early due to its high morbidity and mortality.
- Tuberculosis (TB): A chronic infection that can affect any part of the body, most commonly the lungs. Symptoms include fever, night sweats, weight loss, and cough. Although rare in some populations, it's an important diagnosis to consider, especially in high-risk individuals.
- Lymphoma: Certain types of lymphoma can present with fever, night sweats, and weight loss, known as B symptoms. While rare, lymphoma is a significant diagnosis that requires prompt evaluation and treatment.