Misdiagnosis of Rheumatic fever
Alternative diagnoses list for Rheumatic fever:
For a diagnosis of Rheumatic fever,
the following list of conditions
have been mentioned in sources
as possible alternative diagnoses
to consider during the diagnostic process for Rheumatic fever:
Diseases for which Rheumatic fever may be an alternative diagnosis
The other diseases for which Rheumatic fever
is listed as a possible alternative
diagnosis in their lists include:
Rheumatic fever: Hidden Causes Misdiagnosed?
Causes of Rheumatic fever may include these medical conditions:
Rheumatic fever: Medical Mistakes
Related medical mistakes may include:
Rheumatic fever: Undiagnosed Conditions
Commonly undiagnosed conditions in related areas may include:
Discussion of diagnosis/misdiagnosis of Rheumatic fever:
The doctor confirms the diagnosis of sarcoidosis by eliminating other
diseases with similar features. These include such granulomatous diseases as
berylliosis (a disease resulting from exposure to beryllium metal),
tuberculosis, farmer's lung disease (hypersensitivity pneumonitis), fungal
infections, rheumatoid arthritis, rheumatic fever, and cancer of the lymph nodes
(lymphoma).
(Source: excerpt from NHLBI, Sarcoidosis: NHLBI)
Common Misdiagnoses and Rheumatic fever
Mild worm infections undiagnosed in children: Human worm infestations, esp. threadworm, can be overlooked in some cases,
because it may cause only mild or even absent symptoms.
Although the most common symptoms are anal itch (or vaginal itch),
which are obvious in severe cases,
milder conditions may fail to be noticed in children.
In particular, it may interfere with the child's good night's sleep.
Threadworm is a condition to consider in children with symptoms such as bedwetting (enuresis),
difficulty sleeping, irritability, or other sleeping symptoms.
Visual inspection of the region can often see the threadworms, at night when they are active,
but they can also be missed this way, and multiple inspections can be warranted if worms are suspected.
See the introduction to threadworm.
Heart attacks can be undiagnosed: Although the most severe symptoms of heart attack are hard to miss,
there are varying degrees of severity.
It is altogether too common for people to die from undiagnosed heart attack, or from delaying too long
to call for emergency help.
The prognosis for treatment is far better for patients treated in the early stages of a heart attack.
The most common misdiagnoses include heartburn, or other less severe causes of chest pain.
See the introduction to heart attack and the symptoms of heart attack.
Heart attacks can be overdiagnosed: Although many people die from heart attacks, there are also
many cases where people fear that they have a heart attack, but actually have something milder.
Some of the conditions which may be causes of chest pain, causing fear of a heart attack, including
an anxiety attack, heartburn, and so on.
See the causes of chest pain and the symptoms of heart attack.
Rare heart condition often undiagnosed: The rare heart condition called long QT syndrome can lead to episodes of palpitations
and rapid heartbeat.
In rare cases, this undiagnosed condition can be fatal.
It should be considered for any unexplained heart rhythm abnormality.
Antibiotics often causes diarrhea: The use of antibiotics are very likely
to cause some level of diarrhea in patients.
The reason is that antibiotics kill off not only "bad" bacteria,
but can also kill the "good" bacteria in the gut.
This leads to "digestive imbalance" where there are too few remaining "good"
bacteria in the digestive system.
The treatment is typically to use "probiotics", such as by eating yoghurt cultures
containing more of the good bacteria.
See digestive imbalance and probiotics.
Heart attack can be over-diagnosed: Although heart attack is often undiagnosed,
leading to fatality, it can also be over-diagnosed.
People become concerned that a condition is a heart attack,
whereas there are various less dangerous possibilities.
After all, there are numerous causes of chest pain.
Some of the common conditions where a person may become concerned
about a possible heart attack include a panic attack (which often has
both chest pain and difficulty breathing), and heartburn/reflux type conditions.
Nevertheless, chest pain itself can be a potentially life-threatening symptoms,
and needs immediate professional attention.
Sinusitis is overdiagnosed: There is a tendency to give a diagnosis of sinusitis,
when the condition is really a harmless complication of another infection,
such as a common cold.
Whooping cough often undiagnosed: Although most children in the Western world have been
immunized against whooping cough (also called "pertussis"), this protection wears
off after about 15 years.
Thus, any teen or adult with a persistent cough may actually have whooping cough.
This is particularly dangerous for babies too young to be vaccinated,
and any un-vaccinated children.
Whooping cough can be fatal to an infant.
The cough symptoms of whooping cough is usually productive initially, but then
becomes a persistent dry cough, lasting up to 100 days.
Elderly grandparents may also be a reservoir of undiagnosed whooping cough.
Mesenteric adenitis misdiagnosed as appendicitis in children: Because appendicitis is one of the
more feared conditions for a child with abdominal pain, it can be over-diagnosed
(it can, of course, also fail to be diagnosed with fatal effect).
One of the most common misdiagnosed is for children with mesenteric adenitis
to be misdiagnosed as appendicitis.
Fortunately, thus misdiagnosis is usually less serious than the reverse failure to diagnose appendicitis.
Blood pressure cuffs misdiagnose hypertension in children: One known misdiagnosis issue
with hyperension, arises in relation to the simple equipment used to test blood pressure.
The "cuff" around the arm to measure blood pressure can simply be too small to accurately
test a child's blood pressure.
This can lead to an incorrect diagnosis of a child with hypertension.
The problem even has a name unofficially: "small cuff syndrome".
See misdiagnosis of hypertension.
Children with migraine often misdiagnosed: A migraine often fails to be
correctly diagnosed in pediatric patients.
These patients are not the typical migraine sufferers, but migraines can also occur in children.
See misdiagnosis of migraine or introduction to migraine.
Hypertension misdiagnosis common in children: Hypertension is often
misdiagnosed in adults (see misdiagnosis of hypertension), but its misdiagnosis is even more likely in children.
Some of the symptoms of hypertension that can be overlooked include chest pain, headaches, abdominal pain, etc.
See symptoms of hypertension or misdiagnosis of hypertension.
Rheumatic fever: Rare Types
Rare types of medical disorders and diseases in related medical areas:
General Misdiagnosis Articles
Read these general articles with an overview of misdiagnosis issues.
About misdiagnosis:
When checking for a misdiagnosis of Rheumatic fever
or confirming a diagnosis of Rheumatic fever,
it is useful to consider what other
medical conditions might be possible misdiagnoses or other alternative
conditions relevant to diagnosis.
These alternate diagnoses of Rheumatic fever may already have
been considered by your doctor or may need to be considered as possible
alternative diagnoses or candidates for misdiagnosis of Rheumatic fever.
For a general overview of misdiagnosis issues for all diseases,
see Overview of Misdiagnosis.
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Undiagnosed Rheumatic fever
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