scholarly journals COVID-19 pneumonia with night sweat as the first symptom

Keyword(s):  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Selim Yalcin ◽  
Selami Kocak Toprak ◽  
Betul Erismis ◽  
Ozden Altundag ◽  
Handan Ozdemir ◽  
...  

Kikuchi-Fujimoto disease, also known as histiocytic necrotizing lymphadenitis, is a self-limiting, benign, and rare systemic lymphadenitis with unknown etiology. The cardinal symptoms are fever, lymphadenopathy and night sweat; consequently, it is first necessary to rule out infectious, lymphoproliferative, and connective tissue diseases such as systemic lupus erythematosus. Histology can allow diagnosis by demonstrating necrotizing histiocyte lymphadenitis. Disease, which has no specific treatment, self-limits itself in 1 to 6 months clinically. However, non-steroid anti-inflammatory agents can be given for symptomatic treatment and there are reports using corticosteroids and antibiotics in complicated cases. This article concerns a 32-years-old female who diagnosed Kikuchi-Fujimoto disease and treated with glucocorticoid.


Blood ◽  
2010 ◽  
Vol 116 (21) ◽  
pp. 4332-4332
Author(s):  
Xuefeng He ◽  
Wu Depei ◽  
Xiao Ma ◽  
Yanan Zhou ◽  
Chengcheng Fu ◽  
...  

Abstract Abstract 4332 Here we reported one case of atypical T cell prolymphocytic leukemia. The 38-year female was admitted to our hospital for fatigue and night sweat. She complained of fatigue and night sweat for one month and accompanied by gum bleeding. Physical examination showed anemia and massive spleen extending to umbilical level. Blood routine test indicated pancytopenia (detailed info: Wbc 0.66×109/L,Hb 82g/L,Plt 60×109/L)and elevated proportion of lymphocytes. Blood biochemistry and routine serum tumor marker were normal. Mutation of JAK2V617F was negative. Marrow film showed many atypical mature lymphocytes which expressed mature T cell markers. Marrow biopsy showed a SLL-like scene and accompanied by local fibrosis, immunochemical stains strong CD3, CD45-R0, CD43 and weak CD5, MPO. Repeated TCR β rearrangement indicated positive. PET/CT scan could not find specific elevated SUV lesions. This patient may be diagnosed as atypical T cell prolymphocytic leukemia despite her lymphocytopenia and unpalpable peripheral lymph nodes. She received one cycle of CVP (cyclophosphamide, Vincristine and prednisone) and another cycle of CHOP(cyclophosphamide, Adriamycin, Vincristine and prednisone). Her blood cell count partly recovered and she was preparing for following high dose chemotherapy. Disclosures: No relevant conflicts of interest to declare.


2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e19544-e19544
Author(s):  
J. Xiao ◽  
C. Guo ◽  
L. Zhai ◽  
H. Li ◽  
X. Fu ◽  
...  

e19544 Background: Extranodal NK/T-cell lymphoma (ENKL) is a rare disease originated from NK or toxic T cells. ENKL arising from the upper aerodigestive tract (UNKTL) is a newly recognized subtype and commonly presents with B symptoms. This study is to investigate the prognostic value of different B symptoms in UNKTL. Methods: UNKTL cases with detailed clinical, pathological and prognostic data in our center since 2001 to 2007 were retrospectively analyzed with the major study endpoint of overall survival (OS). Central pathological review was performed. Survival curves were estimated by Kaplan-Meier method and tested by Log Rank method. Statistically significant factors in univariate analysis were then included in multivariate analysis. B symptoms were defined as fever, night sweat and weight loss according to the Ann Arbor Cotswolds meeting. The predictive values of survival for each type of B symptoms were studied independently. Results: 172 cases of UNKTL with a median follow-up duration of 27.4 months were included. 45 ladies and 127 gentlemen had a median age of 43 years. 98 cases were Ann Arbor stage I, 54 were stage II and the remaining 20 cases were stage III or IV. About half of the patients present B symptoms: 82 had fever, 5 had night sweat and 6 present weight loss. Totally 18 patients had ECOG PS larger than 1. The 5-year OS rate of the whole group is 41.8%. Patients with persistent fever before treatment indicated a poor outcome in the univariate analysis (p=.033) and its prognostic value was also confirmed by the Cox regression (p=.030) whereas those of night sweat and weight loss were not (p= .960 and .824 respectively). Conclusions: B symptoms were common in UNKTL patients. Our data suggested that only fever among the three types of B symptoms was independent prognostic factor for UNKTL but it still needs further confirmation. No significant financial relationships to disclose.


Respiration ◽  
1999 ◽  
Vol 66 (6) ◽  
pp. 559-561
Author(s):  
Jens Schreiber ◽  
Ulf Greinert ◽  
Sabine Rüsch-Gerdes ◽  
Werner Lotz ◽  
Max Schlaak ◽  
...  

1980 ◽  
Vol 30 (1) ◽  
pp. 95-95
Author(s):  
Robert Hromas
Keyword(s):  

2014 ◽  
Vol 41 (2) ◽  
pp. 9-12
Author(s):  
MM Rahman ◽  
MN Haque ◽  
MA Kadir ◽  
MR Kallol ◽  
Dr Wanaiza

Tuberculous cervical lymphadenitis (TCL) is not very uncommon in our country. A series of 60 cases was studied from 204 non- thyroid neck swelling which were selected from 20,558 patients attending in ENT department in Central Police Hospital and Mitford Hospital, Dhaka in 3 years. The incidence of TCL was 29.41% among the non- thyroid neck swelling and 0.3% from total number of patients attending in ENT department. The most vulnerable ago group was the second decade 38.33% with female preponderance ( Female male ratio was 2: 1). The common presentaions were neck swelling (100%), fever (66.67%), night sweat (50%). 50% cases were associated with pulmonary tuberculosis. Tuberculin test was positive in 73.34%. Maximum number of patients were from low socioeconomic class and BCG vaccination had a significant protective role (31.67% were vaccinated and 68.33% were one- vaccinated). On histopathology of cervical lymph nodes caseation necrosis was found in 85% of cases.DOI: http://dx.doi.org/10.3329/bmj.v41i2.18793 Bangladesh Medical Journal 2012 Vol. 41 No. 2: 9-12


Author(s):  
Ibrahim Goni ◽  
Christopher U. Ngene ◽  
Manga I. ◽  
Auwal Nata’ala ◽  
Sunday J. Calvin

Tuberculosis is a contiguous disease that is causing death both in developed and developing countries. The main aim of this research work was to a developed an intelligent system for diagnosing Tuberculosis using adaptive neuro-fuzzy methodology. Eleven symptoms of tuberculosis which are persistent cough for more than two weeks, cough with blood, weight loss, tiredness, chest pain, fever, difficulty in breathing, loss of appetite, lymph node enlargement, history of TB contact and night Sweat are assigned with weights which are categorize best on severity level as mild, moderate, severe and very severe, yes and no which serve as inputs to the adaptive neuro-fuzzy inference system (ANFIS). MATLAB 7.0 is used to implement this experiment, Trapezoidal Membership function was used, back propagation algorithm was used for training and testing, the error obtain is 0.41777 at epoch 2 which shows that the training performance is exactly 99.58223 and testing performance of the system are 99.58197 at epoch 2.   


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zahra Chegini ◽  
Mojtaba Didehdar ◽  
Seidamir Pasha Tabaeian ◽  
Amin Khoshbayan ◽  
Aref Shariati

Abstract Background Hepatic Actinomycosis (HA) is one of the infections that causes disorders in patients when diagnosed untimely and inappropriately. Methods Case reports on HA in patients published between 2000 and April 2020 were gathered by carrying out a structured search through PubMed/Medline. Results Through a survey of the Medline database, 130 studies were identified and then, 64 cases with HA were included in the final analysis. Asia had the largest share of cases with 37.5% (24 reports), followed by Europe and the Americas. Affected patients were predominantly males (64%) and the overall mortality rate was 1% with only one male patient in his 50 s dying. Nearly all patients (92%) were immunocompetent. However, in four patients, the use of immunosuppressive medication led to depression of the immune system. Most of the patients (80%) experienced complications. In terms of the complications, the most frequent ones were previous history of abdominal surgery (32%) and foreign bodies in the abdominopelvic region (20%). Actinomyces israelii was the most common pathogen isolated from patients. Abdominal pain (66%), fever (62%), weight loss (48%), night sweat, malaise, and anorexia (14%) over about 3.1 months were the most frequently reported clinical symptoms. Extension to one or more surrounding organs was evident in 18 patients (28%). Histopathologic examination confirmed infection in 67% of the patients and samples obtained from liver puncture biopsy (32%) were most frequently used in diagnosis. Surgery or puncture drainage + anti-infection was the most common method to treat patients and penicillin, Amoxicillin, Doxycycline, and ampicillin were the most frequently used drugs to control infection. Conclusion HA should be considered in patients with a subacute or chronic inflammatory process of the liver. With accurate and timely diagnosis of infection, extensive surgery can be prevented.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Eyram Dogah ◽  
Mark Aviisah ◽  
Da-Ama Mawulom Kuatewo ◽  
Godsway Edem Kpene ◽  
Sylvester Yao Lokpo ◽  
...  

Annually, ten million cases of tuberculosis (TB) and about 1.8 million mortalities are recorded. Adherence to TB treatment not only reduces death outcomes but prevents prolonged sickness, transmission to others, and the development of multidrug-resistant TB. This study is aimed at determining the rate of treatment adherence, knowledge of TB infection, and the possible factors influencing adherence to TB treatment in the Ketu North District in the Volta Region of Ghana. A cross-sectional study design was employed. A semistructured questionnaire was used to obtain data from respondents. Adherence to TB treatment and knowledge level about TB infection were assessed. A Chi-square test analysis was used to determine the variables that were associated with treatment adherence. Logistic regression analysis was used to determine potential factors that contribute to treatment adherence. A total of 125 TB registrants were enrolled in the study. The majority (102 (81.6%)) adhered to the TB treatment regimen. However, the level of knowledge about night sweat being a symptom of TB infection was relatively low (78 (62.4%)). Logistic regression analysis revealed that the male gender was about three times more likely ( OR = 2.978 , 95 % CI = 1.173 ‐ 7.561 ; p = 0.022 ) to be associated with adherence to TB treatment. However, food availability ( OR = 2.208 , 95% CI (0.848-5.753); p = 0.10 ) and household size ( OR = 0.538 , 95% CI (0.195-1.483); p = 0.23 ) were not significantly associated with treatment adherence. In this study, adherence to TB treatment and the knowledge level of TB infection were high. However, the knowledge level of night sweat being a symptom of TB infection was relatively low. Being a male was significantly associated with treatment adherence. An intensified health education on the symptoms of TB infection is therefore recommended.


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