I am a 50 year old woman who recently had a hospital stay because of fluid around my heart diagnosed as pericardial effusion. I wound up in ICU and a heart cath removed about 1200 ccs of fluid. They had a pulmonary doctor look at my lungs and I have two swollen lymph nodes there. I also have a swollen lymph node in my neck, which has been there for over a month. I feel a pull in area around neck when I take a deep breath and by the end of the day the whole area is sore. I have lower back pain (since the hospital stay) and sweat in any temperature above 70. Before my hospital stay I had night sweats so bad I had to put a towel on my pillow, but not since the fluid was removed. My two week follow up with Cardiologist indicated the heart sack is still inflammed and fluid is more than when I left the hospital. I was given intravenous antibodics in ICU and anti inflamatory drugs in hospital and for 10 days after. Since this all started with a diagnosis of Strep Throat from my primary doctor, both the Cardialogist and Pulmonary doctors seem to consider it infection related. I am concerned that the cause of the fluid is lymphoma and would like your opinion.
There are multiple potential causes for the medical problems and symptoms that you describe, including chronic infection, autoimmune diseases, and cancer (including lymphoma). Since I am not involved in your care, I cannot offer you a more detailed or specific diagnosis than the doctors who are caring you. Certainly, however, if you have chronically enlarged lymph nodes (and especially if they are continuing to enlarge), then consideration should be given to performing a biopsy on one or more of these enlarged lymph nodes.
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