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Avian influenza differential diagnosis

For more information about seasonal human influenza virus that is not associated with animal exposure, see Influenza

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, M.D.

Overview

Overview

Avian influenza should be differentiated from the following diseases or pathogens that cause upper or lower respiratory tract infection or flu-like illness, such as other influenza viruses, such as human or swine influenza, other viral, bacterial, fungal, and parasitic agents that are typically associated with nasopharyngeal and respiratory tract infections, and non-infectious causes, such as asthma, chronic obstructive pulmonary disease (COPD), drug adverse effects, and cardiac causes.

Differential Diagnosis

Differential Diagnosis

Influenza should be differentiated from the following diseases or pathogens that cause upper or lower respiratory disease or flu-like symptoms:[1][2][3][4][5][6][7]

Infectious Diseases

Non-infectious Diseases

Differentiating Influenza and Common Cold

Differentiating Influenza and Common Cold

Symptoms Influenza Common Cold
Fever High fever (100-102° F) Uncommon
Headache Common Uncommon
Cough Common, moderate to severe Mild to moderate
Body aches Common, may be severe Slight
Fatigue Common, can last up to 2-3 weeks Sometimes
Nasal congestion Sometimes Common
Sneezing Sometimes Common
Sore throat Sometimes Common
Adapted from the National Institute of Allergy and Infectious Diseases (NIAID) [8]
References

References

  1. Szewczuk, Elektra; Thapa, Kiran; Anninos, Terry; McPhie, Kenneth; Higgins, Geoff; Dwyer, Dominic E; Stanley, Keith K; Iredell, Jonathan R (2010). “Rapid semi-automated quantitative multiplex tandem PCR (MT-PCR) assays for the differential diagnosis of influenza-like illness”. BMC Infectious Diseases. 10 (1): 113. doi:10.1186/1471-2334-10-113. ISSN 1471-2334.
  2. Liu, Ding Xiang; Schulze, Martin; Nitsche, Andreas; Schweiger, Brunhilde; Biere, Barbara (2010). “Diagnostic Approach for the Differentiation of the Pandemic Influenza A(H1N1)v Virus from Recent Human Influenza Viruses by Real-Time PCR”. PLoS ONE. 5 (4): e9966. doi:10.1371/journal.pone.0009966. ISSN 1932-6203.
  3. Lion T (2014). “Adenovirus infections in immunocompetent and immunocompromised patients”. Clin. Microbiol. Rev. 27 (3): 441–62. doi:10.1128/CMR.00116-13. PMC 4135893. PMID 24982316.
  4. Attridge RT, Frei CR (2011). “Health care-associated pneumonia: an evidence-based review”. Am. J. Med. 124 (8): 689–97. doi:10.1016/j.amjmed.2011.01.023. PMID 21663884.
  5. Epidemic and Pandemic Alert and Response (EPR), World Health Organization (WHO)
  6. “Updated Information on the Epidemiology of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Infection and Guidance for the Public, Clinicians, and Public Health Authorities, 2012–2013”.
  7. Wu P, Dupont WD, Griffin MR, Carroll KN, Mitchel EF, Gebretsadik T, Hartert TV (2008). “Evidence of a causal role of winter virus infection during infancy in early childhood asthma”. Am. J. Respir. Crit. Care Med. 178 (11): 1123–9. doi:10.1164/rccm.200804-579OC. PMC 2588491. PMID 18776151.
  8. “National Institute of Allergy and Infectious Diseases (NIAID)- Flu (Influenza)”.

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