Meeting
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 […]
Abstract Number: 859
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: An 84-year-old man with stage II non-small cell lung adenocarcinoma had tumor recurrence in the lungs after lobectomy. For first line systemic therapy he was started on pembrolizumab, a monoclonal antibody immune checkpoint inhibitor. Five days after his initial dose, he presented with daily fevers to 39C, progressive weakness, and confusion. He was […]
Abstract Number: 869
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 60-year-old man with coronary artery disease and metastatic renal cell carcinoma presents with worsening dyspnea on exertion 3 weeks after his first infusion of pembrolizumab. On presentation, he was tachycardic and in visible respiratory distress. Initial laboratory values were notable for troponin of 8.15 with EKG showing sinus tachycardia with right bundle […]