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What causes night sweats, low grade fever, cough and fatigue?

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Posted on Thu, 28 May 2015
Question: Woke up one night in a pool of sweat. Sick with night sweats, a low grade fever, cough, fatigue for 2 weeks. CXR clear. Blood work good. Internist says virus and I was getting better. ENT says no sinus infection. Believed it was bad virus as well. Was getting better, now starting again. Was on Z pack and Omnicef. Did not do anything. Any thoughts
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Answered by Dr. Panagiotis Zografakis (6 minutes later)
Brief Answer:
Please provide more details

Detailed Answer:
Hello,

I'd like more details regarding the time sequence of the events. When did the fever start in the first place? How long did it last? When did it start again? Did you have any other symptoms (and when) like congestion or runny nose? Your medical history? Do you take any drugs besides the ones you've mentioned?

Your case sounds like a viral infection. The aforementioned information would help me a lot though.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Panagiotis Zografakis (7 minutes later)
Started feeling fatigue about two and 1/2 weeks ago. Went to bed two weeks ago and woke up in a pool of sweat. Fever ranging from 99-101. Went on for a week where stayed in bed. Low grade fever on and off. Saw internist who diagnosed virus, slight bronchitis. Coughing, some stuffiness, occasional sneezing, on and off headaches,no body aches. CXR clear. Flu swab negative. Standard blood work good with no elevation in WBC 7.1. ENT to check sinuses, all clear. Believed it was viral as well. I am also taking Celebrex. Have history of RA controlled with Celebrex and diet.
Seemed to be getting better and feeling better. Tonight woke up with cough, fever and sweats again.

See above information. Any further thoughts?
doctor
Answered by Dr. Panagiotis Zografakis (2 hours later)
Brief Answer:
Probably infectious

Detailed Answer:
Hi,

your history of RA may complicate things a little but infections are the most frequent causes of the symptoms you've mentioned. Regarding fever recurrence: fever of infectious origin may recur when the infection was not treated sufficiently, when a complication occurs and when a new infection occurs.
Since the symptoms were the same, it's probably a respiratory tract infection.

Infections of the upper respiratory system may be complicated with sinusitis (headache, nasal discharge) and pneumonia (cough, purulent sputum etc). A recurring fever is always a good reason for a new visit to your doctor. Do not suppose that it's the same thing that you had, because sometimes it isn't.

I would suggest a new X-ray and blood tests which should include the C-reactive protein (quantitative assessment), the erythrocyte sedimentation rate and a complete blood count. Other tests that might be helpful include urea, creatinine, transaminases and electrolytes (sodium, potassium).
You can contact me again, with any new (or more) details you may have. I'll be glad to help.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3786 Questions

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What causes night sweats, low grade fever, cough and fatigue?

Brief Answer: Please provide more details Detailed Answer: Hello, I'd like more details regarding the time sequence of the events. When did the fever start in the first place? How long did it last? When did it start again? Did you have any other symptoms (and when) like congestion or runny nose? Your medical history? Do you take any drugs besides the ones you've mentioned? Your case sounds like a viral infection. The aforementioned information would help me a lot though. Kind Regards!