Adenoiditis differential diagnosis: Difference between revisions
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|[[Pharyngitis]] | |[[Pharyngitis]]<ref name=":0">{{cite book | last = Ferri | first = Fred | title = Md consult/first consult 14-month subscription : combo retail pack | publisher = Elsevier Saunders | location = Place of publication not identified | year = 2005 | isbn = 9781416026075 }}</ref><ref name="pmid7989695">Kline JA, Runge JW (1994) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=7989695 Streptococcal pharyngitis: a review of pathophysiology, diagnosis, and management.] ''J Emerg Med'' 12 (5):665-80. PMID: [https://pubmed.gov/7989695 7989695]</ref><ref>{{cite book | last = Bennett | first = John | title = Mandell, Douglas, and Bennett's principles and practice of infectious diseases | publisher = Elsevier/Saunders | location = Philadelphia, PA | year = 2015 | isbn = 978-1455748013 }}</ref><ref name="pmid11136758">{{cite journal| author=Tsai HP, Kuo PH, Liu CC, Wang JR| title=Respiratory viral infections among pediatric inpatients and outpatients in Taiwan from 1997 to 1999. | journal=J Clin Microbiol | year= 2001 | volume= 39 | issue= 1 | pages= 111-8 | pmid=11136758 | doi=10.1128/JCM.39.1.111-118.2001 | pmc=87689 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11136758 }} </ref><ref name="pmid2295843">Proud D, Naclerio RM, Gwaltney JM, Hendley JO (1990) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=2295843 Kinins are generated in nasal secretions during natural rhinovirus colds.] ''J Infect Dis'' 161 (1):120-3. PMID: [https://pubmed.gov/2295843 2295843]</ref><ref name="pmid25229278">Anjos LM, Marcondes MB, Lima MF, Mondelli AL, Okoshi MP (2014) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=25229278 Streptococcal acute pharyngitis.] ''Rev Soc Bras Med Trop'' 47 (4):409-13. PMID: [https://pubmed.gov/25229278 25229278]</ref><ref name="pmid22338589">Murray RC, Chennupati SK (2012) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=22338589 Chronic streptococcal and non-streptococcal pharyngitis.] ''Infect Disord Drug Targets'' 12 (4):281-5. PMID: [https://pubmed.gov/22338589 22338589]</ref> | ||
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* [[Sore throat]] | * [[Sore throat]] |
Revision as of 12:19, 14 June 2017
Adenoiditis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]
Overview
Diagnosis of adenoiditis can be challenging as majority of upper respiratory tract infections show the same pattern. The most important differential diagnosis include tonsilitis, viral upper respiratory tract infection, sinusitis and pharyngitis.
Differential diagnosis
Adenoiditis must be differentiated from other diseases that cause fever, nasal airway obstruction and snoring, and sore throat.
The table below outlines the differences between adenoiditis and other respiratory tract infections.
Differential diagnosis based on fever and sore throat
Disease/Variable | Presentation | Causes | Imaging finding | Treatment |
---|---|---|---|---|
Upper respiratory tract infection[1][2][3] |
|
|
_ | Symptomatic therapy:
|
Peritonsillar abscess[4][5][6][7][8][5][6][9][10][11][12] |
|
On ultrasound peritonsillar abscess appears as focal irregularly marginated hypoechoic area. | ||
Croup[13][14][15][16][17][18] | Steeple sign on neck X-ray |
| ||
Epiglottitis[19][20] | Thumbprint sign on neck x-ray |
| ||
Pharyngitis[21][22][23][24][25][26][27] |
|
_ |
| |
Tonsilitis [28][29][30][31] |
|
|
Intraoral or transcutaneous USG may show an abscess making CT scan unnecessary. |
|
Sinusitis[32][33] | On CT scan, a mass impinging on the posterior pharyngeal wall with rim enhancement is seen |
|
References
- ↑ "Antibiotics for adults with acute laryngitis | Cochrane Summaries".
- ↑ http://www.cochrane.org/reviews/en/ab004403.html Antibiotics for exacerbations of chronic obstructive pulmonary disease
- ↑ http://www.cochrane.org/reviews/en/ab000980.html Vitamin C for preventing and treating the common cold
- ↑ Galioto NJ (2008). "Peritonsillar abscess". Am Fam Physician. 77 (2): 199–202. PMID 18246890.
- ↑ 5.0 5.1 Lyon M, Blaivas M (2005). "Intraoral ultrasound in the diagnosis and treatment of suspected peritonsillar abscess in the emergency department". Acad Emerg Med. 12 (1): 85–8. doi:10.1197/j.aem.2004.08.045. PMID 15635144.
- ↑ 6.0 6.1 Boesen T, Jensen F (1992). "Preoperative ultrasonographic verification of peritonsillar abscesses in patients with severe tonsillitis". Eur Arch Otorhinolaryngol. 249 (3): 131–3. PMID 1642863.
- ↑ Bandarkar AN, Adeyiga AO, Fordham MT, Preciado D, Reilly BK (2016). "Tonsil ultrasound: technical approach and spectrum of pediatric peritonsillar infections". Pediatr Radiol. 46 (7): 1059–67. doi:10.1007/s00247-015-3505-7. PMID 26637999.
- ↑ Scott PM, Loftus WK, Kew J, Ahuja A, Yue V, van Hasselt CA (1999). "Diagnosis of peritonsillar infections: a prospective study of ultrasound, computerized tomography and clinical diagnosis". J Laryngol Otol. 113 (3): 229–32. PMID 10435129.
- ↑ Brook I (2004). "Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses". J Oral Maxillofac Surg. 62 (12): 1545–50. PMID 15573356.
- ↑ Megalamani SB, Suria G, Manickam U, Balasubramanian D, Jothimahalingam S (2008). "Changing trends in bacteriology of peritonsillar abscess". J Laryngol Otol. 122 (9): 928–30. doi:10.1017/S0022215107001144. PMID 18039418.
- ↑ Snow DG, Campbell JB, Morgan DW (1991). "The microbiology of peritonsillar sepsis". J Laryngol Otol. 105 (7): 553–5. PMID 1875138.
- ↑ Matsuda A, Tanaka H, Kanaya T, Kamata K, Hasegawa M (2002). "Peritonsillar abscess: a study of 724 cases in Japan". Ear Nose Throat J. 81 (6): 384–9. PMID 12092281.
- ↑ Cherry, James D. (2008). "Croup". New England Journal of Medicine. 358 (4): 384–391. doi:10.1056/NEJMcp072022. ISSN 0028-4793.
- ↑ Henrickson, K. J. (2003). "Parainfluenza Viruses". Clinical Microbiology Reviews. 16 (2): 242–264. doi:10.1128/CMR.16.2.242-264.2003. ISSN 0893-8512.
- ↑ Schomacker, Henrick; Schaap-Nutt, Anne; Collins, Peter L; Schmidt, Alexander C (2012). "Pathogenesis of acute respiratory illness caused by human parainfluenza viruses". Current Opinion in Virology. 2 (3): 294–299. doi:10.1016/j.coviro.2012.02.001. ISSN 1879-6257.
- ↑ Schaap-Nutt, Anne; Liesman, Rachael; Bartlett, Emmalene J.; Scull, Margaret A.; Collins, Peter L.; Pickles, Raymond J.; Schmidt, Alexander C. (2012). "Human parainfluenza virus serotypes differ in their kinetics of replication and cytokine secretion in human tracheobronchial airway epithelium". Virology. 433 (2): 320–328. doi:10.1016/j.virol.2012.08.027. ISSN 0042-6822.
- ↑ Welliver RC, Sun M, Rinaldo D (1985). "Defective regulation of immune responses in croup due to parainfluenza virus". Pediatr. Res. 19 (7): 716–20. doi:10.1203/00006450-198507000-00016. PMID 2991841.
- ↑ Baron, Samuel (1996). Medical microbiology. Galveston, Tex: University of Texas Medical Branch at Galveston. ISBN 0-9631172-1-1.
- ↑ Wick F, Ballmer PE, Haller A (2002). "Acute epiglottis in adults". Swiss Med Wkly. 132 (37–38): 541–7. PMID 12557859.
- ↑ Nickas BJ (2005). "A 60-year-old man with stridor, drooling, and "tripoding" following a nasal polypectomy". J Emerg Nurs. 31 (3): 234–5, quiz 321. doi:10.1016/j.jen.2004.10.015. PMID 15983574.
- ↑ Ferri, Fred (2005). Md consult/first consult 14-month subscription : combo retail pack. Place of publication not identified: Elsevier Saunders. ISBN 9781416026075.
- ↑ Kline JA, Runge JW (1994) Streptococcal pharyngitis: a review of pathophysiology, diagnosis, and management. J Emerg Med 12 (5):665-80. PMID: 7989695
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455748013.
- ↑ Tsai HP, Kuo PH, Liu CC, Wang JR (2001). "Respiratory viral infections among pediatric inpatients and outpatients in Taiwan from 1997 to 1999". J Clin Microbiol. 39 (1): 111–8. doi:10.1128/JCM.39.1.111-118.2001. PMC 87689. PMID 11136758.
- ↑ Proud D, Naclerio RM, Gwaltney JM, Hendley JO (1990) Kinins are generated in nasal secretions during natural rhinovirus colds. J Infect Dis 161 (1):120-3. PMID: 2295843
- ↑ Anjos LM, Marcondes MB, Lima MF, Mondelli AL, Okoshi MP (2014) Streptococcal acute pharyngitis. Rev Soc Bras Med Trop 47 (4):409-13. PMID: 25229278
- ↑ Murray RC, Chennupati SK (2012) Chronic streptococcal and non-streptococcal pharyngitis. Infect Disord Drug Targets 12 (4):281-5. PMID: 22338589
- ↑ Nogan S, Jandali D, Cipolla M, DeSilva B (2015). "The use of ultrasound imaging in evaluation of peritonsillar infections". Laryngoscope. 125 (11): 2604–7. doi:10.1002/lary.25313. PMID 25946659.
- ↑ Kawabata M, Umakoshi M, Makise T, Miyashita K, Harada M, Nagano H; et al. (2016). "Clinical classification of peritonsillar abscess based on CT and indications for immediate abscess tonsillectomy". Auris Nasus Larynx. 43 (2): 182–6. doi:10.1016/j.anl.2015.09.014. PMID 26527518.
- ↑ Fordham MT, Rock AN, Bandarkar A, Preciado D, Levy M, Cohen J; et al. (2015). "Transcervical ultrasonography in the diagnosis of pediatric peritonsillar abscess". Laryngoscope. 125 (12): 2799–804. doi:10.1002/lary.25354. PMID 25945805.
- ↑ Putto A (1987). "Febrile exudative tonsillitis: viral or streptococcal?". Pediatrics. 80 (1): 6–12. PMID 3601520.
- ↑ Vural C, Gungor A, Comerci S (2003). "Accuracy of computerized tomography in deep neck infections in the pediatric population". Am J Otolaryngol. 24 (3): 143–8. PMID 12761699.
- ↑ Philpott CM, Selvadurai D, Banerjee AR (2004). "Paediatric retropharyngeal abscess". J Laryngol Otol. 118 (12): 919–26. PMID 15667676.