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Finalist

Abstract Number: 27

WHEN CLOTTING TURNS TO CATASTROPHE: A CASE OF PEDIATRIC ANTIPHOSPHOLIPID SYNDROME

SHM Converge 2026

Case Presentation: A healthy 15-year-old male developed cough, nasal congestion, and abdominal pain. After several days, he presented to the hospital with worsening pain and emesis. He was febrile to 100.4 degrees Fahrenheit, with a heart rate of 121 beats per minute and a respiratory rate of 27 breaths per minute. He appeared pale and [...]

Finalist

Abstract Number: 28

WHEN JOINT PAIN SIGNALS MORE: BEYOND THE WRIST

SHM Converge 2026

Case Presentation: A 7-year-old female presented with 3 days of bilateral knee pain and 1 day of left wrist pain and swelling. Knee pain resolved 1 day prior to presentation at which point left wrist symptoms started. No fevers, recent illnesses, or history of trauma. History notable for Acute Myeloid Leukemia (AML) diagnosed at 4 [...]

Finalist

Abstract Number: 29

CLUES IN THE CRACKLES: THE CASE OF PULMONARY ALVEOLAR PROTEINOSIS

SHM Converge 2026

Case Presentation: A 17-year-old girl presented with one month of progressive cough and exertional dyspnea. She denied fever, chest pain, or hemoptysis. Vitals were normal for age. Growth review showed recent weight loss from the 38th to 15th percentile with stable height at the 5th percentile. Pulmonary exam revealed faint bilateral crackles but was otherwise [...]

Finalist

Abstract Number: 30

RARE DIAGNOSTIC CHALLENGE: ACUTE HIV PRESENTING AS SEVERE RHABDOMYOLYSIS IN AN ADOLESCENT

SHM Converge 2026

Case Presentation: A previously healthy 16-year-old male presented with six days of headache and abdominal pain followed by three days of fever, myalgias, stiff muscles, nausea, anorexia, and fatigue. He denied exertional activity, trauma, substance use, or recent illness. ED diagnostic evaluation revealed leukopenia (1.96 ×10³/µL), CD4 count 155/µL, thrombocytopenia (121 ×10³/µL), LDH 1210 U/L, [...]

Chapter Winner

REFRACTORY SEIZURES AS A MANIFESTATION OF ANTI-EPILEPTIC DRUG INDUCED HYPOCALCEMIA AND VITAMIN D DEFICIENCY

SHM Converge 2026

Case Presentation: A 34-year-old female with a history of focal epilepsy diagnosed during childhood complicated by status epilepticus, anxiety, depression, ADHD, and history of chronic hyponatremia presented to the hospital at 25 weeks gestation with complaints of recurrent seizures. During the admission process she had multiple witnessed generalized tonic-clonic seizures with nystagmus requiring multiple rounds [...]

Chapter Winner

ROCKY MOUNTAIN SPOTTED FEVER AND HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS PRESENTING AS MULTI-ORGAN DYSFUNCTION IN A 40-YEAR-OLD FEMALE

SHM Converge 2026

Case Presentation: A 40-year-old female presented in June of 2023 with emesis and a fever of 38.9 °C. She complained of epigastric pain radiating to the back. The patient reported no recent travel. She worked in a daycare and had a pet dog. She had not hiked or camped recently. She walked her dog at [...]

Chapter Winner

Abstract Number: 120

RASBURICASE-INDUCED METHEMOGLOBINEMIA TREATED WITH ASCORBIC ACID IN A FEMALE WITH UTERINE CARCINOSARCOMA AND ACUTE KIDNEY INJURY

SHM Converge 2026

Case Presentation: A 65-year-old female with uterine carcinosarcoma was hospitalized for ascites, dyspnea, and fatigue. Initial findings revealed peritoneal carcinomatosis with massive ascites, potential liver metastases, and acute kidney injury (AKI) with creatinine 6.6 mg/dL (baseline 0.9) with oliguria. She declined dialysis. High urate (14.5 mg/dL) prompted administration of rasburicase due to an initial concern [...]

Chapter Winner

Abstract Number: 253

ATYPICAL MULTIFOCAL MYONECROSIS MASQUERADING AS NECROTIZING FASCIITIS FOLLOWING COCAINE EXPOSURE: A CASE REPORT

SHM Converge 2026

Case Presentation: A 43-year-old man with no significant past medical history presented with 3–4 days of rapidly progressive right upper extremity pain, swelling, and bullae. Symptoms began with a bulla at the antecubital fossa and extended distally and proximally. He also developed bilateral thigh and hip cramping with difficulty walking. He denied trauma or IV [...]

Chapter Winner

Abstract Number: 266

KRATOM INDUCED MANGANESE TOXICITY

SHM Converge 2026

Case Presentation: We report a case of a 52-year-old woman with chronic pain, depression, and poorly controlled diabetes who presented with acute hypoxic respiratory failure secondary to multifocal Streptococcus pneumoniae pneumonia and empyema. During a protracted ICU course requiring mechanical venitation and tracheostomy, she exhibited persistent neurological abnormalities including dystonia and tremor, which, along with [...]

Chapter Winner

Abstract Number: 443

TRIPLE THREAT TOXICITY: A CASE OF PEMBROLIZUMAB-INDUCED TRIPLE M OVERLAP SYNDROME

SHM Converge 2026

Case Presentation: A 75-year-old man with advanced urothelial carcinoma on enfortumab vedotin and pembrolizumab presented with new muscle weakness. His weakness began two weeks prior as cramping in his lower extremities and progressed upwards, leading to difficulty raising his head. He also noted progressive dyspnea on exertion and lower extremity edema. On exam, he had [...]

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