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Meetings Archive For Hospital Medicine 2016, March 6-9, San Diego, Calif...

Abstract Number: 765
Culprit in Camo: Kshv-Associated Multicentric Castleman’s Disease
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 49-year-old man diagnosed with human immunodeficiency virus (HIV) two years earlier and started on antiretroviral therapy two months prior presented to a clinic with fever, diffuse palpable lymphadenopathy, and shortness of breath. His CD4 count and viral load were 480 cells/mm3and 127,000 copies/mL, respectively. He was admitted to the hospital and treated […]
Abstract Number: 766
Stumped by the Shunt
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation:  63-year-old female admitted to neurosurgery for lumboperitoneal (LP) shunt placement for cerebrospinal fluid (CSF) leak, 35 days after craniotomy for epidermoid tumor resection. Patient had no relevant prior history. After LP shunt placement, the patient reported positional headache between postoperative day (POD) 0-4, back pain starting POD 5, intermittent drowsiness, nausea, and diffuse […]
Abstract Number: 767
Disseminated Mycobacterium “Avium” Complex
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 36 year old female with PMHX of HIV/AIDS on HAART(concern for non-compliance) for last 10 years, CD4
Abstract Number: 768
Pitfalls of Travel Medicine: A Case of Multiple Endemic Exposures
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 66 year-old man presented with fever, chills, and a diffuse erythematous truncal rash for five days. His symptoms began upon returning from travelling to Morocco and Thailand, and six weeks after a hiking trip in the Northeast.  He had not received any prophylactic vaccinations or antimalarial agents. He denied sick contacts, new […]
Abstract Number: 769
A “Good” Case of Thymoma
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 66 year old woman with history of iron deficiency anemia, tuberculosis (TB), pulmonary mycobacterium avium complex (MAC) and thymoma presented to the ED for symptomatic anemia.  She was well until 6 months prior to admission when she presented with persistent fever and cough, and was diagnosed with TB.  She was treated with […]
Abstract Number: 770
A Rare Cause of Chest Pain and St Elevation in a Patient with Metastatic Lung Cancer
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 73 years old male who was recently diagnosed with metastatic squamous cell carcinoma of the right lung presented with worsening pressure like nonpositional central chest pain associated with some shortness of breath for the past two weeks. His other pertinent past medical history included COPD, mild coronary artery disease, myasthenia gravis and […]
Abstract Number: 771
Not so Special K
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 36 year old homeless Asian man with history of polysubstance abuse and frequent urinary tract infections presented to the emergency department with altered mental status and oliguria that had worsened over the previous four days. The patient admitted to ketamine abuse seven years prior (taking ten grams a day), but stated he […]
Abstract Number: 772
To Anticoagulate or Not?: A Case Reviewing Granulomatosis with Polyangiitis Induced Atial Fibrillation
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 65-year-old female with hypertension and   smoking history presented with a gradual onset of painful, edematous feet for 4-days.  She continued to develop erythema and a constant, nonradiating pain in her feet. The patient also noted an increase in her baseline dyspnea, migratory arthralgias, and recurrent sinusitis.  On exam, she had sinus tachycardia, inspiratory wheezing, and edematous, erythematous feet. […]
Abstract Number: 773
Empyema Without Pneumonia?
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 64-year-old man with a history of cryptogenic cirrhosis and prior right-sided hepatic hydrothorax presents with a 2-day history of right-sided pleuritic chest pain and subjective fevers.  On admission, the patient was afebrile, hemodynamically stable, and saturating 100% on room air.  Exam was remarkable for diminished breath sounds on the right; no ascites […]
Abstract Number: 774
The Four Year Itch: Recrudescent Malaria in a Patient with Sarcoidosis
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 49-year-old Nigerian woman with sarcoidosis not on immunosuppressants presented to the emergency department with one week of fever and right upper quadrant pain.  The fevers occurred nightly and were as high as 102° Fahrenheit.  She otherwise felt fatigued with intermittent headaches.  Past medical history was additionally notable for recurrent malarial infections during […]