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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Coughing With Rise In Body Temperature At Night?

hello doctor
my uncle age is late 30s and he is a non-smoker and non-alcoholic. he is working as a security guard in LIC. For the past 10 days he is suffering from cough and had evening rise in temperature. but he seems to be not expectorating the sputum. His Xray and scan report was taken and doctors said that was not clear and they could pick up only the middle lobe consolidation. Now they are suggesting for a suction procedure to collect his sputum sample. They are suspecting for a Pulmonary TB 90% or may be a lung cancer 10% We are confused. Would really appreciate if you could help us understand better on this issue. Thank you very much.
Tue, 31 Oct 2017
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Pulmonologist 's  Response
It looks like a acute condition. TB or lung cancer is chronic process (symptoms more than 21 days). He should get T-Spot test. It is a blood test to detect TB. Also if he is not having sputum they can induce it by giving 3% hypertonic saline nebulization. I would consider infection as this point as a cause of his illness.
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What Causes Coughing With Rise In Body Temperature At Night?

It looks like a acute condition. TB or lung cancer is chronic process (symptoms more than 21 days). He should get T-Spot test. It is a blood test to detect TB. Also if he is not having sputum they can induce it by giving 3% hypertonic saline nebulization. I would consider infection as this point as a cause of his illness.