Pediatric Pharyngitis Differential Diagnoses

Updated: Aug 02, 2023
  • Author: Harold K Simon, MD, MBA; Chief Editor: Russell W Steele, MD  more...
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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