[31F] Experiencing fever, night sweats, and severe cough

Patient Description

A 31-year-old female presents with a fever over 100 degrees for three days, severe night sweats, and a severe phlegmy cough that has lasted three days. The fever comes and goes, peaking at night and subsiding in the afternoon. Night sweats are significant, soaking clothes and bedding, and have been occurring for three nights. The cough, described as a deep chest cough, worsens at night and in the morning, and improves slightly in the afternoon. It is severe enough to cause vomiting and strain abdominal muscles. The patient also reports constipation with a lot of gas, which started yesterday, as well as congestion, runny nose, lack of appetite, and low urination. The patient has been taking Tylenol (1000mg twice daily), calcium, collagen, and a multivitamin in the morning. She has celiac disease, diagnosed in October 2020, and has been in close contact with someone exhibiting similar symptoms. The patient denies any allergies to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Influenza (Flu): The flu is a common viral infection that can be deadly, especially in high-risk groups. The flu attacks the lungs, nose, and throat. Symptoms include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue.

    • Treatment typically involves rest, hydration, and over-the-counter remedies for comfort. Antiviral medications may be prescribed in some cases.
  • COVID-19: Given the current pandemic and your symptoms, COVID-19 is a possibility. Symptoms can range from mild to severe illness and appear 2-14 days after exposure. Fever, cough, and shortness of breath are key symptoms.

    • Testing is necessary to confirm this diagnosis. Treatment involves supportive care to help relieve symptoms and, in severe cases, hospitalization.
  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs, which may fill with fluid. Fever, cough, and difficulty breathing are common symptoms.

    • Treatment typically involves antibiotics, fever reducers, and cough medicine. Hospitalization may be necessary in severe cases.
  • Tuberculosis: This is a potentially serious infectious disease that mainly affects your lungs. The bacteria that cause tuberculosis are spread from person to person through tiny droplets released into the air via coughs and sneezes. Night sweats and a cough that may produce mucus or blood are common symptoms.

    • Treatment involves taking antibiotics for at least six to nine months.

Please note that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

You should seek immediate medical attention given your severe symptoms and the duration of your illness. Please call ahead and let them know you are coming so they can prepare for your arrival and protect others from potential exposure if you do have an infectious disease.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of influenza and how is it treated?

Common symptoms of influenza include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue. Treatment typically involves rest, hydration, and over-the-counter remedies for comfort. Antiviral medications may be prescribed in some cases.


How can I differentiate between COVID-19 and other respiratory infections like the flu or pneumonia?

COVID-19, the flu, and pneumonia can have overlapping symptoms such as fever, cough, and difficulty breathing. COVID-19 may also include symptoms like loss of taste or smell. Testing is necessary to confirm COVID-19, and a healthcare provider can help differentiate between these conditions based on symptoms and test results.


What are the signs that pneumonia might be severe enough to require hospitalization?

Signs that pneumonia might be severe include difficulty breathing, persistent chest pain, confusion, or bluish lips or face. If these symptoms occur, immediate medical attention is necessary, and hospitalization may be required for treatment.


How is tuberculosis diagnosed and treated, and what precautions should be taken to prevent its spread?

Tuberculosis is diagnosed through a combination of skin tests, blood tests, chest X-rays, and sputum tests. Treatment involves taking antibiotics for at least six to nine months. To prevent its spread, patients should follow their treatment plan closely, cover their mouth when coughing, and avoid close contact with others until they are no longer contagious.


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