Sleeping with chills is usually caused by several reasons: 1, bacterial infection of inflammation is the most common cause, whether bacterial, viral, fungal, or atypical pathogens, such as mycoplasma or chlamydia and other infections, there will be a clinical symptom of the center of body temperature shifting upward, then there will be chills of the clinical performance, such as respiratory infections, gastrointestinal infections, pelvic and urinary infections will be 2, aseptic inflammation will also appear in sleep chills, such as tuberculosis fever, rheumatic fever, rheumatoid arthritis, or immune and connective tissue diseases such as dermatomyositis, systemic lupus erythematosus, etc. will also appear in the above sleep chills. 3, rare diseases will also appear in this symptom, such as heat stroke pre-symptoms, hyperthyroidism, adrenal insufficiency will be The symptoms of chills during sleep can also be seen in rare diseases.