Chills: Or something else? Differential Diagnosis

Respiratory System (J00-J99)

  • Bronchitis* – inflammation of the bronchial mucosa.
  • Pharyngitis* (inflammation of the throat)
  • Pneumonia* (pneumonia)
  • Sinusitis (sinusitis)
  • Tonsillitis* (tonsillitis)
  • Tracheitis* (inflammation of the trachea)

Skin and subcutaneous (L00-L99)

Cardiovascular system (I00-I99).

Infectious and parasitic diseases (A00-B99).

  • Abscess fever
  • Actinomycosis (radiation fungus)
  • Lyme disease (Lyme disease) – infectious disease caused by the bacterium Borrelia burgdorferi.
  • Brucellosis (Malta fever) – infectious disease transmitted from animals to humans.
  • Chronic yersiniosis – disease caused by bacteria of the genus Yersinia.
  • Epstein-Barr virus infection (EBV e.g. reactivated by tumor disease) Spotted fever – also called “lice fever” or faecal fever; infection with microorganisms of the genus Rickettsia (Rickettsia prowazekii), which is transmitted by lice, mites, ticks or fleas.
  • Exanthema subitum* (three-day fever).
  • Gastroenteritis* (gastroenteritis).
  • Giardiasis* – small intestinal infection caused by Giardia lamblia (Giardia duodenalis, Giardia intestinalis, Lamblia intestinalis).
  • Influenza infection* (common cold).
  • Hand-foot-mouth disease* (HFMK; hand-foot-mouth exanthema) [most common cause: Coxsackie A16 viruses].
  • HIV / AIDS
  • Infectious mononucleosis* (synonyms: Pfeiffer’s glandular fever, infectious mononucleosis, mononucleosis infectiosa, monocytic angina or kissing disease, (Student’s) kissing disease, called) – common viral disease caused by the Epstein-Barr virus (EBV); this affects lymph nodes, but can also affect the liver, spleen and heart.
  • Influenza (flu)
  • Listeriosis – in humans sporadic infectious disease caused by bacteria of the genus Listeria.
  • Malaria – tropical infectious disease transmitted by the Anopheles mosquito.
  • Measles (Morbilli)
  • Paratyphoid infection – infectious disease caused by the bacterium Salmonella enterica paratyphi (type A-C) from the family Enterobacteriaceae.
  • Parotitis epidemica (mumps)
  • Pneumococcal infection (in infants up to two years of age).
  • Protozoonosis (a disease transmitted by protozoa), e.g. leishmaniasis, cryptosporidiosis.
  • Pseudocroup* / croup coughlaryngitis, which leads primarily to swelling of the mucous membrane below the vocal cords.
  • Ringworm* (erythema infectiosum)
  • Rubella
  • Relapsing fever (Engl. relapsing fever, spirillium fever) – bacterial infectious diseases caused by relapsing fever borrelia, which are characterized by multiple episodes of fever, so-called recurrent fever.
  • Syphilis (lues; venereal disease).
  • Tuberculosis
  • Typhoid abdominalis – severe febrile infectious diseases, which are usually associated with diarrhea and caused by salmonella (Salmonella enteritica serovar typhi).
  • Viral hemorrhagic fever (VHF), e.g. dengue fever – infectious disease that occurs mainly in the (sub-)tropics.
  • Chickenpox* (varicella)

Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93).

Musculoskeletal system and connective tissue (M00-M99).

Neoplasms – tumor diseases (C00-D48).

  • Tumor diseases (below are details of tumors most commonly associated with fever):
    • Acute leukemias (blood cancers).
    • Bronchial carcinoma (lung cancer)
    • Lymphoma (Hodgkin, non-Hodgkin)
    • Hypernephroma (renal cell carcinoma).
    • Breast carcinoma (inflammatory; inflammatory breast cancer).
    • Liver metastases or hepatocellular carcinoma (hepatocellular carcinoma).

Ears – mastoid process (H60-H95).

  • Otitis media (inflammation of the middle ear)

Psyche – nervous system (F00-F99; G00-G99)

Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99).

  • Thirst (thirst fever)

Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99).

  • Urinary tract infection*
  • Pyelonephritis (inflammation of the renal pelvis)

Injuries, poisonings, and certain other sequelae of external causes (S00-T98).

Operations

  • After surgery (resorption fever) or risk of infection with fever.

Other causes

  • Abscess (somewhere)
  • Drug fever (synonym: drug fever) – mainly caused by hypersensitivity syndromes; fever occurs relatively soon after the first drug is taken and resolves within 72 hours after the drug is discontinued; examples: Analgesics, antihistamines, barbiturates, diuretics, salicylates, sedatives, and sulfonamides.
  • Blood transfusions, vaccinations* (toxic fever).
  • Heat accumulation (heat fever)

Legend

  • Bold (= persistent fever, i.e. > 3 weeks); marked were diseases that occur frequently to occasionally.
  • * Fever in children; marked were diseases that occur frequently to occasionally.