Serratia infection differential diagnosis: Difference between revisions

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{{CMG}}
{{CMG}}
==Overview==
==Overview==
Serratia must be differentiated from other causes of [[urinary tract infection]], [[pneumonia]], [[endocarditis]], [[meningitis]], [[Skin and soft-tissue infections|soft tissue infections]], and [[Skin and soft-tissue infectionswound infection]]s. Differential diagnoses include other infections, such as infections caused by ''[[Staphylococcus]]'', ''[[Streptococcus]]'', ''[[E. coli]]'', ''[[Pseudomonas]]'', ''[[Haemophilus]]'', [[tuberculosis]], [[syphilis]], and other [[sexually transmitted infection]]s, as well as other non-infectious systemic diseases, such as [[tumor]]s, [[vasculitides]], and [[acute toxicity|chemical poisoning]].
==Differential Diagnosis==
==Differential Diagnosis==
==Urinary Tract Infection==
==Urinary Tract Infection==
''Serratia'' urinary tract infection (UTI) must be differentiated from other causes of abdominal discomfort, dysuria, hematuria, pyuria, and/or polyuria, such as:
''Serratia'' urinary tract infection (UTI) must be differentiated from other causes of abdominal discomfort, dysuria, hematuria, pyuria, and/or polyuria, such as:
*Other causes of UTI
*Other causes of UTI
:*''[[E. coli]]''
:*''[[E. coli infection|E. coli]]''
:*''[[Enterobacter spp.]]''
:*''[[Enterobacter|Enterobacter spp.]]''
:*''[[Enterococcus spp.]]''
:*''[[Enterococcus|Enterococcus spp.]]''
:*''[[Haemophilus spp.]]''
:*''[[Haemophilus|Haemophilus spp.]]''
:*''[[Klebsiella spp.]]''
:*''[[Klebsiella|Klebsiella spp.]]''
:*''[[Mycoplasma spp.]]''
:*''[[Mycoplasma|Mycoplasma spp.]]''
:*''[[Proteus spp.]]''
:*''[[Proteus|Proteus spp.]]''
:*''[[Providencia spp.]]''
:*''[[Providencia|Providencia spp.]]''
:*''[[Pseudomonas spp.]]''
:*''[[Pseudomonas|Pseudomonas spp.]]''
:*''[[Staphylococcus spp.]]''
:*''[[Staphylococcus|Staphylococcus spp.]]''
:*''[[Ureaplasma spp.]]''
:*''[[Ureaplasma|Ureaplasma spp.]]''
:*[[Tuberculosis|Tuberculous infection of the urinary tract]]
:*[[Tuberculosis|Tuberculous infection of the urinary tract]]
:*Sexually transmitted infections (e.g. ''[[N. gonorrhea]]'' or ''[[Chlamydia]]'')
:*Sexually transmitted infections (e.g. ''[[N. gonorrhea]]'' or ''[[Chlamydia]]'')
:*Parasiticc infections (e.g. [[threadworms]])
:*Parasitic infections (e.g. [[threadworms]])
:*Viruses (e.g. [[HSV]])
:*Viruses (e.g. [[HSV]])
*[[Pyelonephritis]] (acute or chronic)
*[[Pyelonephritis]] (acute or chronic)
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*[[Vesicoureteral reflux]]
*[[Vesicoureteral reflux]]
*[[Polycystic kidney disease]]
*[[Polycystic kidney disease]]
*[[Metal toxicity]]
*[[Acute toxicity|Metal toxicity]]
*[[Sarcoidosis]]
*[[Sarcoidosis]]
*Genitourinary malignancy (e.g. [[bladder cancer]])
*Genitourinary malignancy (e.g. [[bladder cancer]])
*[[Renal transplant rejection]]
*[[Renal transplant rejection]]
*[[Periurethral disease]]
*[[Interstitial cystitis]]
*[[Interstitial cystitis]]
*[[Atrophic vaginitis]]
*[[Atrophic vaginitis]]
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*[[Epididymitis]]
*[[Epididymitis]]
*[[Pregnancy]]
*[[Pregnancy]]
*[[Colovesical fistula]]
*[[Fistula|Colovesical fistula]]
*[[Diverticulitis]]
*[[Diverticulitis]]
*[[Glomerulonephritis]]
*[[Glomerulonephritis]]
*Nephrolithiasis]]
*[[Nephrolithiasis]]
*[[Trauma]]
*[[Trauma]]
*[[Endometritis]]
*[[Endometritis]]
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''Serratia'' pneumonia must be differentiated from other causes of fever, chest pain, productive cough, dyspnea, and blood per sputum, such as:
''Serratia'' pneumonia must be differentiated from other causes of fever, chest pain, productive cough, dyspnea, and blood per sputum, such as:
*Other infectious causes of pneumonia:
*Other infectious causes of pneumonia:
:*''Streptococcus spp.''
:*''[[Streptococcus|Streptococcus spp.]]''
:*''Staphylococcus spp.''
:*''[[Staphylococcus|Staphylococcus spp.]]''
:*Anaerobes
:*[[Anaerobes]]
:*''Chlamydia spp.''
:*''[[Chlamydia|Chlamydia spp.]]''
:*''E. coli''
:*''[[E. coli]]''
:*''Haemophilus spp.''
:*''[[Haemophilus|Haemophilus spp.]]''
:*''Acinetobacter spp.''
:*''[[Acinetobacter|Acinetobacter spp.]]''
:*''Legionella spp.''
:*''[[Legionella|Legionella spp.]]''
:*''Tuberculosis'' or non-tuberculous ''Mycobacterium spp.'' (e.g. MAC)
:*''[[Tuberculosis]]'' or [[Mycobacterium|non-tuberculous ''Mycobacterium spp.]]'' (e.g. MAC)
:*''Mycoplasma spp.''
:*''[[Mycoplasma|Mycoplasma spp.]]''
:*''Moraxella spp.''
:*''[[Moraxella|Moraxella spp.]]''
:*''Pseudomonas spp.''
:*''[[Pseudomonas|Pseudomonas spp.]]''
:*Fungal infections (e.g. ''Candida'', ''Aspergillus'')
:*Fungal infections (e.g. ''[[Candida]]'', ''[[Aspergillus]]'')
:*''Pneumocystis pneumoniae infection''
:*''[[Pneumocystis|Pneumocystis pneumoniae infection]]''
:*Viral pneumonia (e.g. influenza, parainfluenza, VZV, HSV, RSV, CMV, adenovirus, metapneumovirus, coronavirus, measles)
:*Viral pneumonia (e.g. [[influenza]], [[parainfluenza]], [[VZV]], [[HSV]], [[RSV]], [[CMV]], [[adenovirus]], [[metapneumovirus]], [[coronavirus]], [[measles]])
:*Atypical infections (Q-fever, tularemia, psittacosis)
:*Atypical infections ([[Q-fever]], [[tularemia]], [[psittacosis]])
*Bronchiolitis
*[[Bronchiolitis]]
*Epiglottitis
*[[Epiglottitis]]
*Asthma
*[[Asthma]]
*Interstitial lung disease
*[[Interstitial lung disease]]
*Respiratory distress syndrome
*[[Respiratory distress syndrome]]
*Atelectasis
*[[Atelectasis]]
*Broncchiectasis
*[[Bronchiectasis]]
*Bronchitis
*[[Bronchitis]]
*COPD exacerbation
*[[COPD|COPD exacerbation]]
*Foreign body aspiration
*[[Foreign body aspiration]]
*Lung abscess
*[[Lung abscess]]
*Respiratory failure
*[[Respiratory failure]]
*Pulmonary embolism
*[[Pulmonary embolism]]
*Chemical pneumonitis
*[[Chemical pneumonitis]]
*Sepsis
*[[Sepsis]]
*Sarcoidosis
*[[Sarcoidosis]]
*Heart failure
*[[Heart failure]]
*Pulmonary of thoracic malignancy
*Pulmonary of thoracic malignancy


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''Serratia'' intra-abdominal infection must be differentiated from other causes of abdominal pain and fever, such as:
''Serratia'' intra-abdominal infection must be differentiated from other causes of abdominal pain and fever, such as:
*Other intra-abdominal infections
*Other intra-abdominal infections
:*''E. coli''
:*''[[E. coli]]''
:*''Streptococcus spp.''
:*''[[Streptococcus|Streptococcus spp.]]''
:*''Lactobacillus spp.''
:*''[[Lactobacillus|Lactobacillus spp.]]''
:*Enterococci
:*[[Enterococci]]
:*''Yersinia spp.''
:*''[[Yersinia|Yersinia spp.]]''
:*''Klebsiella spp.''
:*''[[Klebsiella|Klebsiella spp.]]''
:*''Campylobacter spp.''
:*''[[Campylobacter|Campylobacter spp.]]''
:*''Acinetobacter spp.''
:*''[[Acinetobacter|Acinetobacter spp.]]''
:*''Clostridium spp.''
:*''[[Clostridium|Clostridium spp.]]''
:*''Proteus spp.''
:*''[[Proteus|Proteus spp.]]''
:*Pseudomonas spp.''
:*[[Pseudomonas|Pseudomonas spp.]]''
:*Anaerobes
:*[[Anaerobes]]
:*Fungal infections (e.g. ''Candida'', histoplasmosis, cryptococcosis, coccidiomycosis)
:*Fungal infections (e.g. [[candidiasis]], [[histoplasmosis]], [[cryptococcosis]], [[coccidiodomycosis]])
:*Parasitic infections (e.g. Amoebiasis, giardiasis, ''Cryptosporidium'')
:*Parasitic infections (e.g. [[amoebiasis]], [[giardiasis]], ''[[Cryptosporidium]]'')
*Peritonitis
*[[Peritonitis]]
*Familial Mediterranean fever
*[[Familial Mediterranean fever]]
*Inflammatory bowel disease
*[[Inflammatory bowel disease]]
*Celiac disease
*[[Celiac disease]]
*Meckel's diverticulum
*[[Meckel's diverticulum]]
*Myocardial infarction
*[[Myocardial infarction]]
*Abdominal tumors
*[[Abdominal mass|Abdominal tumor]]
*Hepatitis and liver disease
*[[Hepatitis]] and [[liver disease]]
*Perforated viscus
*[[Viscus|Perforated viscus]]
*Peritoneal cysts
*[[Peritoneal cyst]]
*Pyelonephritis
*[[Pyelonephritis]]
*Splenosis
*[[Splenosis]]
*Vasculitis (E.g. Henoch-Schonlein purpura, systemic lupus erythematosus, polyarteritis nodosa)
*[[Vasculitis]] (E.g. [[Henoch-Schonlein purpura]], [[systemic lupus erythematosus]], [[polyarteritis nodosa]])
*Appendicitis
*[[Appendicitis]]
*Ischemic colitis
*[[Ischemic colitis]]
*Portal or mesenteric vein thrombosis
*[[Portal|Portal vein thrombosis]] or [[mesenteric vein thrombosis]]
*Abdominal abscess
*[[Abdominal abscess]]
*Abdominal obstrucction
*[[Obstruction|Abdominal obstruction]]
*Volvolus
*[[Volvulus]]
*Intussusception
*[[Intussusception]]
*Ileus
*[[Ileus]]
*Pancreatitis, pancreatic pseudocyst, pancreatic abscess or pancreatic cancer
*[[Pancreatitis]], [[pancreatic pseudocyst]], [[pancreatic abscess]], or [[pancreatic cancer]]
*Cholecystitis or cholangitis
*[[Cholecystitis]] or [[cholangitis]]
*Diverticulitis
*[[Diverticulitis]]
*Pelvic inflammatory disease
*[[Pelvic inflammatory disease]]
*Pregnancy
*[[Pregnancy]]
*Endometritis
*[[Endometritis]]
*Sarcoidosis
*[[Sarcoidosis]]


===Meningitis / Cerebral Abscess===
===Meningitis / Cerebral Abscess===
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*[[Sarcoidosis]]
*[[Sarcoidosis]]
*[[Sepsis]]
*[[Sepsis]]
===HEENT Infections===
''Serratia'' HEENT infections must be differentiated from other causes of eye infections (e.g. keratitis, endophthalmitis, and conjunctivitis), parotitis, or otitis, such as:
===Soft Tissue Infections===
''Serratia'' soft tissue infections must be differentiated from other causes of osteomyelitis, cellulitis, and phlebitis, such as:


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Latest revision as of 20:38, 6 February 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Serratia must be differentiated from other causes of urinary tract infection, pneumonia, endocarditis, meningitis, soft tissue infections, and Skin and soft-tissue infectionswound infections. Differential diagnoses include other infections, such as infections caused by Staphylococcus, Streptococcus, E. coli, Pseudomonas, Haemophilus, tuberculosis, syphilis, and other sexually transmitted infections, as well as other non-infectious systemic diseases, such as tumors, vasculitides, and chemical poisoning.

Differential Diagnosis

Urinary Tract Infection

Serratia urinary tract infection (UTI) must be differentiated from other causes of abdominal discomfort, dysuria, hematuria, pyuria, and/or polyuria, such as:

  • Other causes of UTI

Pneumonia

Serratia pneumonia must be differentiated from other causes of fever, chest pain, productive cough, dyspnea, and blood per sputum, such as:

  • Other infectious causes of pneumonia:

Intra-abdominal Infection

Serratia intra-abdominal infection must be differentiated from other causes of abdominal pain and fever, such as:

  • Other intra-abdominal infections

Meningitis / Cerebral Abscess

Serratia meningitis / cerebral abscess must be differentiated from other causes of headache, fever, and altered mental status, such as:

Endocarditis

Serratia endocarditis must be differentiated from other causes of fever, petechiae, and abnormal heart murmurs, such as:

  • Other causes of infectious endocarditis

References

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