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Pediatric Pharyngitis Differential Diagnoses

  • Author: Harold K Simon, MD, MBA; Chief Editor: Russell W Steele, MD  more...
 
Updated: Apr 26, 2016
 
 

Diagnostic Considerations

The potential for medicolegal pitfalls primarily involves missed diagnoses or failure to treat group A beta-hemolytic streptococci (GABHS). Complications are rare and usually occur during outbreaks of rheumatic fever; however, failure to diagnose and treat within the 9-day window from the start of symptoms can leave one open to potential litigation.

In addition to the conditions listed in the differential diagnosis, other problems to be considered include the following:

  • Tracheitis
  • Retropharyngeal abscess
  • Coxsackievirus infection

Differential Diagnoses

 
 
Contributor Information and Disclosures
Author

Harold K Simon, MD, MBA Professor of Pediatrics and Emergency Medicine, Vice Chair Department of Pediatrics, Associate Division Director of Pediatric Emergency Medicine, Director of Research, Divison of Pediatric Emergency Medicine, Emory University School of Medicine, Children's Healthcare of Atlanta at Egleston

Harold K Simon, MD, MBA is a member of the following medical societies: Academic Pediatric Association, American Pediatric Society, American Academy of Pediatrics, Sigma Xi

Disclosure: Received grant/research funds from Venaxis Pharma for study investigator unrelated to these works; Received consulting fee from Venaxis Pharma for board membership; Received grant/research funds from Baxter Pharma for study investigator unrelated to hesse works.

Chief Editor

Russell W Steele, MD Clinical Professor, Tulane University School of Medicine; Staff Physician, Ochsner Clinic Foundation

Russell W Steele, MD is a member of the following medical societies: American Academy of Pediatrics, American Association of Immunologists, American Pediatric Society, American Society for Microbiology, Infectious Diseases Society of America, Louisiana State Medical Society, Pediatric Infectious Diseases Society, Society for Pediatric Research, Southern Medical Association

Disclosure: Nothing to disclose.

Acknowledgements

Leslie L Barton, MD Professor Emerita of Pediatrics, University of Arizona College of Medicine

Leslie L Barton, MD is a member of the following medical societies: American Academy of Pediatrics, Association of Pediatric Program Directors, Infectious Diseases Society of America, and Pediatric Infectious Diseases Society

Disclosure: Nothing to disclose.

Rosemary Johann-Liang, MD Medical Officer, Infectious Diseases and Pediatrics, Division of Special Pathogens and Immunological Drug Products, Center for Drug Evaluation and Research, Food and Drug Administration

Rosemary Johann-Liang, MD is a member of the following medical societies: American Academy of Pediatrics, American Medical Association, and Infectious Diseases Society of America

Disclosure: Nothing to disclose.

Garry Wilkes, MBBS, FACEM Director of Emergency Medicine, Calvary Hospital, Canberra, ACT; Adjunct Associate Professor, Edith Cowan University, Western Australia

Disclosure: Nothing to disclose.

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Grace M Young, MD Associate Professor, Department of Pediatrics, University of Maryland Medical Center

Grace M Young, MD is a member of the following medical societies: American Academy of Pediatrics and American College of Emergency Physicians

Disclosure: Nothing to disclose.

References
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  16. Haelle T. Strep Throat: Treated Kids Can Return to School in 12 Hours. Medscape Medical News. Available at http://www.medscape.com/viewarticle/850338. September 02, 2015; Accessed: April 26, 2016.

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Posterior pharynx with petechiae and exudates in a 12-year-old girl. Both the rapid antigen detection test and throat culture were positive for group A beta-hemolytic streptococci.
Streptococcal pharyngitis , Note the redness and edema of the oropharynx, and petechiae, or small red spots, on the soft palate caused by Strep throat. Strep throat is caused by group A streptococcus bacteria. These bacteria are spread through direct contact with mucus from the nose or throat of persons who are infected, or through contact with infected wounds or sores on the skin.
 
 
 
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