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Abstract Number: 0563
NO LAUGHING MATTER: NITROUS OXIDE-INDUCED SUBACUTE COMBINED DEGENERATION OF THE SPINAL CORD
SHM Converge 2025
Case Presentation: A 34-year-old male with no past medical history was hospitalized for progressive weakness, numbness, and tingling of his extremities for 2 weeks. He denied fevers, headache, neck pain, or bowel/bladder complaints. He smoked 10 cigarettes and drank 24 to 48 oz beer daily. He admitted to social marijuana and cocaine use. He worked [...]
Abstract Number: 0887
PENILE PROSTHESIS INFECTION WITH MYCOBACTERIUM ABSCESSUS
SHM Converge 2025
Case Presentation: A 58-year-old man from Thailand presented to the emergency department with a one month history of night sweats, penile pain, swelling, and scrotal wound drainage. Five months prior, he had traveled to India for a semi-rigid penile implant. After a diagnosis of “urethral tuberculosis” in Thailand, he began RIPE therapy (rifampin, isoniazid/pyridoxine, pyrazinamide, [...]
Abstract Number: 0924
A PROGRESSIVE AND PUZZLING PREDICAMENT OF DEMENTIA AND ATAXIA? PRIONS, PERHAPS
SHM Converge 2025
Case Presentation: A 61-year-old female with rheumatoid arthritis was hospitalized for expedited workup of memory loss and gait imbalance. Family reported a progressive memory loss over one year with a more acute decline in the past two months. Her symptoms included forgetting conversations and searching for her mother who passed away. Neurologic exam was notable [...]
Abstract Number: 0954
KEPPRA INDUCED RHABDOMYOLYSIS
SHM Converge 2025
Case Presentation: A 53-year-old male with no past medical history of seizures, and an otherwise limited medical history aside from a remote stroke, was admitted after witnessed seizure activity. He was loaded with Keppra. However, due to ongoing agitation and airway concerns, he was intubated and sedated with propofol. A CT of his head showed [...]
Abstract Number: 0967
BILATERAL FACIAL NERVE PALSY: AN UNUSUAL PRESENTATION OF GUILLAIN-BARRÉ SYNDROME
SHM Converge 2025
Case Presentation: This patient was a previously healthy 33-year-old Native American female that had initially presented to urgent care with right-sided facial weakness and was prescribed steroids and valacyclovir. Two days later, she began to develop left-sided facial weakness despite treatment. Over the course of the next five days, the patient experienced worsening bilateral facial [...]
Abstract Number: 0990
THE UNNERVING CASE OF THE HICCUPS
SHM Converge 2025
Case Presentation: A 77-year-old male with a history of lumbar spondylosis presented to the emergency department with 12 hours of lower extremity weakness, urinary retention, and saddle anesthesia. Two weeks before this visit, the patient presented to the emergency department with intractable hiccups, nausea, and vomiting and was ultimately discharged on baclofen and metoclopramide with [...]
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