List of Respiratory Infections; Causes, Transmission, Symptoms

A Guide to Distinguish Among Different Respiratory Infections

Do you cough, sneeze, have an itchy or sore throat, difficulty breathing, fever, or you cough up mucus and you do not know what disease you might have? In the table below, you can check when certain respiratory infections appear, how they are spread, and what are their common and unlikely symptoms.

Table: Characteristics of common respiratory infections

  • *unlikely symptoms = those that do not or rarely appear in a listed disease
  • **droplet = infection through droplets of saliva or mucus expelled into the air during speaking, coughing, sneezing. Droplets may stay on surfaces (door knobs, keyboards, etc.) for several hours
  • ***nodes = lymph nodes (glands)
DISEASE and CAUSESEASON and TRANSMISSIONCOMMON SYMPTOMSUNLIKELY SYMPTOMS*
COMMON COLD – RHINITIS; rhinoviruses, coronaviruses, RSV and other virusesLate August to April, also in summer; droplet**, human-to-humanBlocked nose with watery to thick green discharge, wet eyes, itchy throat, dry cough, (sometimes low-grade fever or headache); lasts 1 weekBody aches, rash, enlarged nodes***
ACUTE SINUSITIS; various viruses, bacteria, fungi (also pollutants or allergy)Winter; complication of existing viral disease; sinusitis as a disease is not contagiousPressure and tenderness in cheeks and/or front, headache, blocked nose, thick green mucus (thin mucus in allergy), post-nasal drip, or swollen eyelids; lasts less than 4 weeksBody aches, swollen nodes, rash
SEASONAL FLU; Influenza A or B virusNovember- April, occasionally in summer (in travelers) (1); droplet, human-to-humanBody aches, headache, tiredness, blocked, runny nose, sore throat, dry cough, high fever (101-105°F =38-40.5°C, rarely no fever at all), lasts 1-2 weeksSwollen nodes, rash (in severe flu), pneumonia (in small children, old, chronic patients)
SWINE (NEW, 2009 PANDEMIC) FLU; Influenza A virus, subtype H1N1Year-round; 2009 summer flu cases were probably swine flu (2); droplet, human to human, rarely humans to pets (3), rarely pigs to humansSymptoms, like in seasonal flu, but pneumonia is possible also in young and otherwise healthy individuals, often no fever (4)Swollen nodes, rash
BIRD FLU – AVIAN INFLUENZA; Influenza A virus, subtype H5N1Year-round (5), from wild or domestic birds or pigs to human, not human-to-humanSymptoms, like in seasonal flu, but pneumonia is possible also in young and otherwise healthy individualsSwollen nodes, rash
DIPHTERIA; bacterium Corynebacterium diphtheriaeYear-round, droplet, human to human, rare in US and EuropeDifficulty breathing, slurred speech, double vision, sore throat, swollen neck nodes, black throat membranes; lasts two weeksBody aches
MONO – INFECTIOUS MONONUCLEOSIS; Epstein-Barr virus (EBV), Citomegalovirus (CMV)Year-round, close contact (kissing) by infected personSwollen lymph nodes in the neck, armpits and groin, sore throat, fatigue, fever, rash, enlarged spleen; mostly young adults; lasts 1-4 monthsRunny nose, pneumonia
STREP THROAT; bacterium Streptococcus pyogenesLate autumn to early spring, but may be year-round; droplet, human to humanSore throat, difficult swallowing, swollen, reddened tonsils, cough, enlarged nodes behind the ears and in neck, high fever, headache, mostly children 5-15 y/o; lasts up to one weekBody aches
VIRAL PHARYNGITIS; influenza virus, adenovirus, Herpes simplex, EBV, CMV, RSV, HIVYear-round; droplet, human to humanSore, reddened throat, often (not always) runny nose, fever; last few days to few weeksBody aches
VIRAL LARYNGITIS; viruses (influenza, measles, mumps, etc.)Year-round, mostly in winter; as complication of existing infection; laryngitis itself is not contagiousHoarsness or lost voice, soreness around Adam’s apple, dry cough, difficulty breathing (in children); lasts 3 days – a weekBody aches, rash
CROUP; parainfluenza virus, RSVYear-round, droplet, human to humanBarking cough, hoarsness, continues with runny nose, in children, lasts  about a weekBody aches, rash
WHOOPING COUGH – PERTUSIS; bacterium Bordetella pertussisYear-roundRunny nose (1-2 weeks), followed by whooping cough, alltogether lasts 3-10 weeksBody aches, swollen nodes, rash
CHILDHOD INFECTIONS WITH RASH: Chicken pox (Varicella zoster), Measles (Rubeolla virus), German measles (Rubella virus), Erythema infectiosum or ‘fifth’ disease (Parvovirus B19), Scarlet fever (bacterium Streptococcus group A)Year-round, skin contact or droplet infection, human to humanRash, fever, sore throat, dry cough, red eyes, headache, tiredness, abdominal pain, diarrhea; children < 15 y/o; last 5-14 daysSwollen nodes in armpits or groin
TUBERCULOSIS; Mycobacterium tuberculosisYear-round; droplet, human to humanLow grade fever, coughing up blood, chest pain, feeling unwell, tiredness; may last for monthsSore throat, runny nose, body aches
BRONCHIOLITIS caused by Respiratory Syncytial Virus (RSV)Autumn-spring; droplet, human to humanWheezing, rales, dry cough, rapid breathing, fever; small children; lasts few weeksEnlarged nodes, rash
BACTERIAL PNEUMONIA; bacteria: Streptococcus pneumoniae (pneumococcus), Staphylococcus aureus, Neisseria meningitidis, Klebsiella pneumoniae, Haemophilus influenzae, Pseudomonas, etc.Winter/spring or year-round; pneumonia itself is usually not contagious, but is a complication of an existing respiratory infectionHigh fever, rapid and difficult breathing, rapid heartbeat, coughing up yellow, green, frothy or bloody mucus, chest pain; with treatment lasts about a week, non-treated often fatal
VIRAL PNEUMONIA; Adenovirus, Influenza virus (all types), coronavirus, measles, varicella…Year-round, mainly in winter; as a complication of an existing viral infectionDry cough, fever, feeling unwell, low appetite; lasts up to one month or more
ATYPICAL PNEUMONIA; Mycoplasma pneumoniae, and Chlamydia pneumoniae, Legionella pneumophila, etc.Year-round; droplet, human to human (Legionella: through air condition, water systems in newly opened hospitals…)Dry cough, sore throat, fever, feeling unwell, tiredness, body aches, night sweats, diarrhea, mostly in young people; lasts up to 1 month or more
CMV PNEUMONITIS; (Citomegalovirus)Year-round; droplet, human to humanDry cough, difficult breathing, fever; in immunosuppressed patients (AIDS, leukemia); often deadly
TOXOPLASMOSIS; unicellular parasite Toxoplasma gondiiFecal-oral by cat feces, or by eating undercooked pork, lamb or deer meetFever, swollen neck nodes, dry cough, tiredness; lasts few weeks/months; in people with lowered immunity (AIDS, cancer) can be fatal
Q FEVER; bacterium Coxiella burnetiiFrom cattle, sheep, or goat milk, feces, saliva to humanHigh fever, severe headache, muscle pains, confusion, sore throat, dry cough, nausea, vomiting, diarrhea, abdominal pain, chest pain; farmers; lasts few weeks
PSITTACOSIS; bacterium Chlamydia psittaciYear-round, domestic birds secretion inhalationFever, severe headache, sore throat, dry cough, difficult breathing; farmers, zoo workers; lasts few weeks/months

NOTE:

  • Hay fever, an allergy to pollens, appears from March to October and may cause runny nose, sneezing, itchy eyes and throat.Symptoms of allergic rhinitis (allergy to molds, dust mites, pollutants) may last year-round. There is usually no fever in allergic reactions.
  • Transmission of respiratory infections is usually by inhalation of droplets from infected persons while they cough or sneeze, or by picking viruses from the door knobs, computer keyboards or other contaminated surfaces; rarely by fecal-oral route from animals (bird flu, toxoplasmosis, Q fever)
  • Diagnosis. Mild respiratory infections, like common cold or seasonal influenza, are usually diagnosed from symptoms and no other tests are needed. Swine or bird flu are diagnosed by blood tests. A cause of pneumonia is determined by blood and sputum (mucus) tests.
  • Apart from infections, other diseases can cause respiratory symptoms: asthma, bronchitis, pleuritis, silicosis, mesothelioma, lung cancer, thyroid disease, panic attack, allergies, heart failure, including heart attack, kidney failure, pulmonary embolism, uncontrolled diabetes, cystic fibrosis, spontaneous or traumatic pneumothorax.
  • Treatment. Mild viral respiratory infections do not need any treatment. For different types of flu, appropriate drugs are available. Bacterial infections are treated by antibiotics. Home remedies are not likely to help in respiratory infections.

Related Articles:

References:

  1. Flu in the summer (yourtotalhealth.ivillage.com)
  2. Flu in the summer 2009 was probably swine flu (abcnews.go.com)
  3. Swine flu can be transmitted from humans to pets (cdc.gov)
  4. Swine flu often appears without fever (nytimes.com)
  5. Bird flu can appear year-round (content.nejm.org)
About Jan Modric (249 Articles)
Health writer