Rhinorrhea in pharyngitis suggests what type of etiology?

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Rhinorrhea, or the discharge of mucus from the nasal cavity, is commonly associated with viral infections, particularly those affecting the upper respiratory tract such as pharyngitis. When a patient presents with pharyngitis accompanied by rhinorrhea, it often indicates a viral etiology because viruses typically cause inflammation of the mucosal surfaces, leading to increased mucus production and nasal discharge.

In contrast, bacterial infections usually present with more severe symptoms, such as purulent (thick and often discolored) nasal secretions, fever, and throat pain without significant nasal discharge. Fungal infections are less common and typically associated with specific risk factors, usually presenting differently than a straightforward case of pharyngitis. Allergic rhinitis may also lead to rhinorrhea, but it usually doesn't present with pharyngitis as a primary symptom in the absence of other allergic signs. Therefore, the presence of rhinorrhea strongly suggests a viral cause in this context.

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