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What causes enlarged lymph nodes in the groin area and night sweats?

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Posted on Sat, 13 Aug 2016
Question: Hello I'm 23 years old and I work in a hospital as an ICU nurse. I have no significant medical history however I have been admitted into the hospital for the 2nd time within a month and a half for the same thing. The doctors have no idea what is going on with me. I have been having night sweats for months and I have noticed my left cervicl lymph node has been painless and enlarged ... and then a month and a half ago I started running low grade Temps, felt extremely run down and had severe body aches. This happened while I was working and went down to the ER. My heart rate was sustaining 150s and my labs showed a white count of 24,000. Other then the malaise and low grade Temps I had no specific symptoms. My heart rate was corrected with fluids and antibiotics. They tested me for various diseases and infections, drew blood cultures and everything resulted negative. I was put on broad spectrum antibiotics and a week later my white count returned to normal. However, about a week ago the same symptoms returned and I found my white count to once again be up to 19000. My symptoms are very non specific which Has made it difficult to diagnose what is going on with me. Should I be concerned about any myeloproliferative disorders, leukemia or lymphoma? With leukemia would your white count return to normal after antibiotics?
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Answered by Dr. Indranil Ghosh (48 minutes later)
Brief Answer:
unlikely to be leukemia or myeloproliferative disorders

Detailed Answer:
Hi
Thanks for your query.

It is indeed unusual to have such infections in an otherwise healthy individual within such short time frame. But I don't think this is leukemia or myeloproliferative disorders, as in those, the white count won't come back to normal with antibiotics.

With painless enlarged lymph nodes and night sweats we need to rule out lymphoma. For that CT scan of chest and abdomen with biopsy of enlarged node are required.

Otherwise your docs need to continue investigations for the source of infection.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1700 Questions

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What causes enlarged lymph nodes in the groin area and night sweats?

Brief Answer: unlikely to be leukemia or myeloproliferative disorders Detailed Answer: Hi Thanks for your query. It is indeed unusual to have such infections in an otherwise healthy individual within such short time frame. But I don't think this is leukemia or myeloproliferative disorders, as in those, the white count won't come back to normal with antibiotics. With painless enlarged lymph nodes and night sweats we need to rule out lymphoma. For that CT scan of chest and abdomen with biopsy of enlarged node are required. Otherwise your docs need to continue investigations for the source of infection. Hope this helps. Regards