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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Grade Fever And Severe Night Sweats?

I have had a low grade fever 99.6-100.3 and generally feel fatigued all the time. I also have begun to suffer sever Night sweats. So bad my sheets are wet when I wake in the morning. I've also lost about 10lbs in 2 weeks. No appetite. I've had several CBCs as well as other test. My white count is up and down some times it will be normal and 3 days later it will be hi. Today my Dr ordered a peripheral blood smear. What should be my main concerns? I am a 36 year old white male 5'7 153# . Only medical history is hypertension and divertiqulosis, with a family history of bone cancer in my sister who was dead 5 weeks after diagnosis.
Wed, 25 May 2016
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General Surgeon,  's  Response

Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
You seems to suffer from-?TB of the lungs/ or Lymph glands
Second opinion from Chest Specialist and Surgeon, to fix the differrential diagnosis by proper investigation.
All symptom complex with weight loss is characteristic of-TB infection.
Blood IGRA with Chest -X-ray would clinch the diagnosis.
Other causes-need to be ruled out-as NHL / Or HL with hidden masses which could also present as Night sweats and low grade fever.PBS advised would fix the type of tumour-Lymphoma cells and would fix the cause.
History of bone cancer in sister, makes possibility of NHL/HL to be ruled out by CT neck and CT abdomen along with PET studies after the physical check ups by Physician.Lymph node biopsy along with this study would confirm the cause of the night sweats with weight loss in your case.
Pelvic bone marrow test smear study-to confirm type of leukemia is also suggested to rule out CLL(chronic lymphoid luekemia)


Hope this would help you to plan further care of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-

Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Low Grade Fever And Severe Night Sweats?

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. You seems to suffer from-?TB of the lungs/ or Lymph glands Second opinion from Chest Specialist and Surgeon, to fix the differrential diagnosis by proper investigation. All symptom complex with weight loss is characteristic of-TB infection. Blood IGRA with Chest -X-ray would clinch the diagnosis. Other causes-need to be ruled out-as NHL / Or HL with hidden masses which could also present as Night sweats and low grade fever.PBS advised would fix the type of tumour-Lymphoma cells and would fix the cause. History of bone cancer in sister, makes possibility of NHL/HL to be ruled out by CT neck and CT abdomen along with PET studies after the physical check ups by Physician.Lymph node biopsy along with this study would confirm the cause of the night sweats with weight loss in your case. Pelvic bone marrow test smear study-to confirm type of leukemia is also suggested to rule out CLL(chronic lymphoid luekemia) Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS