Session Type
Meeting
Search Results for Encephalitis
Abstract Number: 416
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 17 year-old-male with a history of anti-NMDAr encephalitis three years prior presented with two days of confusion, agitation and insomnia. Associated symptoms included anorexia, blunted affect, slow movements and, though awake, refusal to respond or engage with others. Family also reported apparent hallucinations and associated aggression including biting. Neurologic examination with non-verbal patient, […]
Abstract Number: 524
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 39 year-old woman presented to our hospital in late August with non-neutropenic fever and a diffuse maculopapular rash involving her palms and soles. Past medical history was significant for HER2 positive, locally advanced inflammatory carcinoma of the breast. The patient had received neoadjuvant chemotherapy with adriamycin, cyclophosphamide, paclitaxel, pertuzumab, and trastuzumab two […]
Abstract Number: 529
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 62 year old woman with a history of hypertension suddenly developed a headache starting 3 days after receiving the influenza vaccine. The headache worsened and was associated with nausea, photosensitivity and vomiting. The next day she was lethargic, and that night, her husband states she sat up in bed and started “speaking […]
Abstract Number: 585
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: This is the case of a 51-year-old male without prior medical or psychiatric history who developed altered sensorium, cognitive dysfunction, mutism and disorganized behavior of 3 weeks of evolution causing severe impairment over his ability to self-care. He was transferred to our institution from a psychiatric hospital since he underwent 2 weeks of […]
Abstract Number: 614
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 68 year-old female presented with three days of progressively worsening myalgias, headaches, fevers after a cruise through Antica, Saint Martin, and Puerto Rico (PR). She also was confused and unable to walk. She had no neck stiffness or photophobia. On exam, she was alert and oriented to name only, with temperature 103 Fahrenheit. […]
Abstract Number: 685
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 20 year old female with a history of childhood seizures, major depressive disorder, and post-traumatic stress disorder was evaluated for acute onset of bizarre behavior, confusion and disorganized thoughts for the past three days. Her initial psychiatric exam was notable for labile mood, psychomotor agitation and paranoia, but otherwise neurologic examination was […]
Abstract Number: 710
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64-year-old Caucasian male with hypertension and diabetes mellitus presented to the emergency room with confusion, ataxia, and urinary retention after a 10-day cruise to Aruba. During the cruise, he developed fever, diarrhea, and a rash. After returning home, he visited a local ED and was treated with ciprofloxacin and metronidazole for febrile […]
Abstract Number: 726
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Human Herpes Virus 6 (HHV-6) is a member of the herpesviridae family. HHV-6 is the causative agent in roseola infantum, a usually mild and self-limiting childhood exanthem. HHV-6 is also associated with a variety of syndromes in recipients of hematopoietic stem cell transplantation (HSCT), including hepatitis, encephalitis, and bone marrow suppression. However, HHV-6 […]
Abstract Number: 798
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 69-year-old patient was referred to us by his PCP for subacute onset of confusion. Two months prior to presentation he was diagnosed with Focal segmental glomerulonephritis and had been on immunosuppressive therapy with Mycophenolate mofetil and Prednisone. He subsequently developed productive cough, and shortness of breath and was found to have a […]
Abstract Number: 819
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 77 year old man with stage IIIC mucosal melanoma, hypothyroidism, HTN and COPD presents from an outside hospital with two months of rapidly progressive altered mental status. He was diagnosed with melanoma of the oral palate, left parotid gland and neck one year ago, and underwent two cycles of ipilimumab (ipi) and […]