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Abstract Number: 674
SHM Converge 2023
Case Presentation: Levamisole is an anti-parasitic drug used in the veterinary setting. It is a frequent cocaine contaminant found in about 60-70% of samples in the United States (US) [1]. Cocaine contaminated with this substance is linked to antineutrophil cytoplasmic antibodies (ANCA) associated vasculitis [2]. As in the last decade, cocaine use worldwide has been […]
Abstract Number: 685
SHM Converge 2023
Case Presentation: A 42-year-old female presented with two days of fever, dysuria, and hematuria, associated with upper and lower back pain, body aches, and anorexia. She had no significant past medical history and no recent surgical procedures. She denied tobacco, alcohol, and intravenous drug use. The exam was significant for suprapubic pain and left costovertebral […]
Abstract Number: 729
SHM Converge 2023
Case Presentation: We present a case of a 44-year-old male with a history of FN liver abscess, diagnosed two years ago (treated with four weeks of ertapenem to complete resolution), who was brought to the emergency department with confusion, expressive aphasia, fever, and ataxia for three weeks. The patient was vitally stable. Lab workup showed […]
Abstract Number: 752
SHM Converge 2023
Case Presentation: Hereditary angioedema (HAE) is an uncommon diagnosis, but one with which providers should be familiar. While most frequently associated with localized edema of extremities and face, it may also present with gastrointestinal manifestations. Viral infection, including SARS-CoV-2 infection, can be one of many triggers for angioedema exacerbation. Here we present the clinical vignette […]
Abstract Number: 771
SHM Converge 2023
Case Presentation: 46 yo man with chronic pain due to T8-T10 compression fractures from renal osteodystrophy related to tertiary hyperparathyroidism in the setting of end-stage renal disease from sickle cell nephropathy had recurrent prolonged admissions due to uncontrolled pain to the point where the patient was unable to perform his activities of daily living. Traditional […]
Abstract Number: 815
SHM Converge 2023
Case Presentation: A 48-year-old female was referred to Neuromuscular Medicine (NMM) for left-sided spasticity. She has a past medical history of low back pain, opioid addiction, and constipation. The patient in early 2022 had a right cerebral artery (RCA) aneurysm and underwent surgical clipping. She experienced a right hemispheric ischemic stroke postoperatively, which caused left […]
Abstract Number: 833
SHM Converge 2023
Case Presentation: A 59-year-old Caucasian male eight months post liver transplant on Tacrolimus and Prednisone and one month post COVID-19 infection presented to our hospital with progressive weakness. Ten days prior to presentation he noted paresthesias of bilateral upper and lower extremities. This progressed to distal 4/5 weakness in all extremities, dysphagia, dysarthria, severe lower […]
Abstract Number: 836
SHM Converge 2023
Case Presentation: A 71-year-old woman with a history of cecal perforation status post end ileostomy and subtotal colectomy in 2017 presented with intractable pain in the setting of a worsening erythematous intertriginous rash of the abdomen and labia. She reported using topical anti-fungal therapy without improvement of symptoms.Upon presentation, her vital signs were normal and […]
Abstract Number: 844
SHM Converge 2023
Case Presentation: 79-year-old man presented with recurrent syncope. He had a history of tonsillar squamous cell carcinoma (SCC) in 2005 s/p resection, pyriform sinus SCC in 2019 s/p total laryngopharyngectomy with tracheostomy and PEG placement. He had multiple prior admissions for the same presentation, which had been attributed to vasovagal syncope and dehydration from intermittent […]
Abstract Number: 847
SHM Converge 2023
Case Presentation: An 84-year-old woman with a medical history of asthma and hypertension presented with generalized weakness and poor oral intake. Initial vital signs showed heart rate of 108 beats/minute, blood pressure 146/77 mmHg, temperature of 105.5 F and respiratory rate of 15 breaths/minute. Admission labs showed a leukocytosis (78.56 K/uL cells) with blasts, thrombocytopenia […]