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What Do Excessive Sweating And Cough In A Person With Parkinson's Indicate?
Question: I am a 73 year old female with Parkinson's, I do not have diabetes and am in general good health. The last three days I have sweating excessively, and shivering at the same time off and on. Also feel some stuffiness and a cough. Went to walk in clinic yesterday and they gave me an antibiotic (AMOX CLAV 500 mg) for a possible UTI. Still have symptoms this morning. Blood pressure a little high, then a little low which is not uncommon with my Parkinson's. Temperature 99.2.
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Brief Answer:
UTI?
Detailed Answer:
Hello XXXXXXX
sweating and shivering suggests fever. A UTI usually causes high fever (104F sounds more likely than 99.2) with rigor (rattling teeth). Cough and stuffiness suggest upper respiratory tract infection. So I don't know if you've had both infections at the same time and I cannot argue about the diagnosis without having examined you but it's a little strange...
Amoxicillin with clavulanate is a good choice for most respiratory tract infections caused by common bacteria. It's an adequate choice for many UTI too. It's not the 1st pick though when it comes to urinary tract infections with fever (pyelonephritis). In patients who haven't used antibiotics recently it's an acceptable choice.
So if it's an upper respiratory tract infection with these symptoms the most likely cause is a virus and it just needs time because the antibiotic does not kill viruses. If it's a UTI then the antibiotic is expected to kill the bacteria soon so that the patient improves within the first 2-4 days. Treatment has to be continued for more days though but you should talk with the doctor that examined you about that. In any case if you had true rigor (rattling teeth is a reliable feature to prove that you did) antibiotic treatment and close monitoring is required. Rigor usually (but not always) accompanies the more serious infections.
I hope it helps!
If you'd like to ask a more specific question please use your follow up questions to do so. I'll be glad to answer.
Kind Regards!
UTI?
Detailed Answer:
Hello XXXXXXX
sweating and shivering suggests fever. A UTI usually causes high fever (104F sounds more likely than 99.2) with rigor (rattling teeth). Cough and stuffiness suggest upper respiratory tract infection. So I don't know if you've had both infections at the same time and I cannot argue about the diagnosis without having examined you but it's a little strange...
Amoxicillin with clavulanate is a good choice for most respiratory tract infections caused by common bacteria. It's an adequate choice for many UTI too. It's not the 1st pick though when it comes to urinary tract infections with fever (pyelonephritis). In patients who haven't used antibiotics recently it's an acceptable choice.
So if it's an upper respiratory tract infection with these symptoms the most likely cause is a virus and it just needs time because the antibiotic does not kill viruses. If it's a UTI then the antibiotic is expected to kill the bacteria soon so that the patient improves within the first 2-4 days. Treatment has to be continued for more days though but you should talk with the doctor that examined you about that. In any case if you had true rigor (rattling teeth is a reliable feature to prove that you did) antibiotic treatment and close monitoring is required. Rigor usually (but not always) accompanies the more serious infections.
I hope it helps!
If you'd like to ask a more specific question please use your follow up questions to do so. I'll be glad to answer.
Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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