Seven Germany players are suffering from flu symptoms, just 24 hours before their World Cup quarter-final against France.
"It's too early to make any final decisions about the line-up," said Low.
Mats Hummels and Christoph Kramer had suffered with illness earlier in the week, with the former missing Monday's last-16 win over Algeria.
Low believes that the travel across Brazil, and different climate zones for their four matches so far - as well as matches in tropical heat, a heavy downpour and then in chilly Porto Alegre - had taken their toll.
But he added: "It's not all that bad at the moment. I don't want to dramatise it."
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