Session Type
Meeting
Search Results for Meningitis
Abstract Number: 427
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 31-year-old male with no past medical history presented with fevers and headaches for two days. Patient also complained of malaise, neck stiffness and photophobia. Physical exam notable for positive Kernig’s sign. Labs revealed a leukocytosis with neutrophillic predominance. A lumbar puncture was performed to assess for meningitis. The results were initially consistent […]
Abstract Number: 522
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 69 year old right-handed Asian male presented with 2 episodes of right sided focal seizures. He has a past medical history significant for chronic headaches of 4 year duration and was being treated for presumed tuberculous meningitis based on lymphocytic pleocytosis with elevated protein in Cerebrospinal Fluid (CSF) analysis, leptomeningeal enhancement in […]
Abstract Number: 561
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 76-year-old Hispanic man with poorly-controlled diabetes mellitus complicated by nephropathy presented to a hospital with 2 weeks of nausea, vomiting, and progressive lethargy. During the initial evaluation, he developed a focal right-sided seizure advancing to a generalized tonic-clonic seizure lasting 30 seconds. He was afebrile, hypertensive, and non-tachycardic with normal saturation on […]
Abstract Number: 569
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 71 year-old African-American female, retired EMS paramedic, with hypertension, history of ischemic stroke, Hepatitis C, colon cancer s/p resection several years ago was hospitalized for fever, chills and altered mental status. Treatment was started empirically for bacterial meningitis. HIV antibody testing was negative. Subsequently, CSF analysis showed WBC 155 with 90% lymphocytosis, glucose […]
Abstract Number: 579
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 21 year-old man on the rehabilitation service was evaluated for fever and headache. Approximately 1 year previously he was found to have a posterior fossa medulloblastoma that was resected and repaired with a bovine duragraft. Post-operative MRI showed no abnormal contrast enhancement and a lumbar puncture (LP) was unremarkable. Brain and spinal […]
Abstract Number: 668
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: This is a 77/F with Diabetes Mellitus, Hypertension and severe osteoarthritis who was admitted with 1 day history of mental status change, headache and neck pain with progressive pain in her hands, wrist and knee. Vitals signs revealed fever to 103F, BP 142/72, HR 72 and RR 16. Patient was lethargic but arousable, […]
Abstract Number: 675
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 62 year old male with history of rapidly progressive glomerulonephritis due to anti-glomerular basement membrane (anti-GBM) disease who remains dialysis dependent after failing to respond to steroids and plasmapheresis eight months ago presented with two months of worsening vision and frontal headaches. The patient also has chronic systolic heart failure with an […]