I have had chronic night sweats and frequent urination esp at night for 6 mos. About 2 wks ago I began to feel very ill. Low grade fever, pain in lymph nodes all over body, in my neck, groin, behind my knees. My doctor ran various tests and all came back normal, no infections, no HIV or mono. Chest X-ray shows mild hyperinflation. Also had exposure to Klebsiella pneumoniae in a lab spill about two wks ago. I have had shortness of breath for about 2 days. I do not smoke, but have a history of smoking. I have not smoked cigarettes in 2 1/2 yrs. My doctor does not seem concerned about the hyperinflation and even stated that my X-rays were normal although the report says mild hyperinflation. I am a student in the medical field and I know sometimes learning about medical conditions can lead to self diagnosis and sometimes even paranoia. My question is, should I be concerned about the hyperinflation? Can a virus cause hyperinflation? Would hyperinflation ever be considered normal? The answers to these questions will help me determine if I need to seek out a second opinion. Thank you.
The most common cause of hyperinflation (in the absence of respiratory symptoms) in young persons is asthma. Other causes are really rare. Hyperinflation is a subjective interpretation by the Radiologist and, if described as slight or minimal, is almost always of no consequence. Viruses are not a cause.
I am more concerned about your 6 month history of night sweats and frequent urination along with fever and “pain in lymph nodes”. This suggests that you may have some type of chronic inflammatory disease and the most common of these would be Tuberculosis, without lung involvement but there are other infectious causes.
These are serious symptoms and you should definitely seek a second opinion, ideally from a specialist in Internal Medicine and or Infectious Disease.
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