Clinical QuickieInfectious Disease

Bacterial vs Viral vs Fungal Infection

Classify the syndrome before the organism.

Start with pattern and site

Respiratory, urinary, skin, GI and bloodstream syndromes each have different likely organisms and diagnostic pathways.

Neutrophilia does not prove bacterial disease

CBC patterns can support context but are not organism-identification tests.

Treatment follows likelihood + severity

Many viral syndromes need supportive care; bacterial disease may require targeted antibiotics; fungal disease depends heavily on site, host and immune status.

Host factors shift probability

Immunosuppression, recent antibiotics, healthcare exposure, indwelling devices and travel/exposure can change the organism spectrum.

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