<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am a male 59 years old and a parapligic T7-T11. I have wound on my left buttock approximately 5 cm by 5 cm by 3.5 cm deep. The wound occured from a hard lump that was lanced and then got infected. I am currently using a wound vac and it appears to be getting smaller, however arround 3 pm in the afternoon I develop chills and then by 5 pm I have fever of arround 100 degrees. I take tylond and the fever goes to normal but at night I have sever sweeting. Is there anything I can do?  <response>: Hi. Thanks for your query and an elucidated history. This is certainly indicative of an active infection in the would or may be in the urinary tract or so. I would advise undergoing the tests of Blood urine-routine, microscopy, culture and sensitivity IF pus is there in the wound - swab for gram staining, culture and sensitivity. And start a broad spectrum antibiotic once the samples are Chat Doctor. 