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Search Results for Cryptococcal meningitis
Abstract Number: 456
ABDUCEN’S NERVE PALSY IN A LIVER TRANSPLANT RECIPIENT
SHM Converge 2021
Case Presentation: A 61-year-old female with a history of non-alcoholic steatohepatitis (NASH) cirrhosis complicated by hepatocellular carcinoma (HCC), who underwent a liver transplant 2 months prior, presented to an outpatient clinic complaining of several days of fatigue, headache, nausea, vomiting, abdominal pain and confusion. Her headaches were new since the transplant. She denied any fevers, [...]
Abstract Number: 521
A RARE CASE OF CRYPTOCOCCAL MENINGITIS IN AN IMMUNOCOMPETENT HOST
SHM Converge 2024
Case Presentation: A 32-year-old Human Immunodeficiency Virus (HIV)-negative male presented with one week of headaches, dizziness, blurry vision, nausea, and vomiting. He denied fevers, chills, cough, hemoptysis, neck pain or stiffness, recent travel, sick contacts, photophobia, or phonophobia. He was recently diagnosed with cryptococcal meningitis (CM) and cryptococcal pneumonitis (CP) after presenting previously with 1.5 [...]
Abstract Number: 539
SARCOID WITH SUBACUTE CONFUSION
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64 year old male suffered from gradual onset fatigue and change in mentation over the course of a month. His symptoms then progressively worsened as he became confused and developed intermittent headaches. Past medical history includes pulmonary sarcoidosis, treated with 20mg of prednisone daily. On presentation, the patient had no neck stiffness. [...]
Abstract Number: 587
CRYPTOCOCCAL MENINGITIS IN THE IMMUNOCOMPETENT PATIENT: A CASE SERIES
SHM Converge 2023
Case Presentation: We present a case-series of 3 immunocompetent patients who presented with cryptococcal meningitis.Case 1: A 49-year-old HIV-negative male, with a history of treated tuberculosis and Hepatitis B, presented with dizziness. CT chest revealed a cavitary lung lesion, and subsequent bronchoscopy and endobronchial ultrasound (EBUS) with lavage and biopsy demonstrated cultures positive for C. [...]
Abstract Number: 772
CRYPTOCOCCAL MENINGITIS IN THE SETTING OF THE IMMUNE RECONSTITUTION INFLAMMATORY SYNDROME
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 42-year-old man was diagnosed with AIDS after presenting to his PCP for subacute subjective fevers, unintended weight loss, headache, and generalized malaise. He was referred to infectious diseases and was started on Biktarvy for ART as well as Bactrim and Zithromax for prophylaxis for a CD4 count of 18 cells/mm3 and HIV [...]
Abstract Number: 775
DIGGING UP THE CAUSE FOR CRYPTOCOCCAL MENINGITIS IN THE IMMUNE-COMPETENT PATIENT
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 34 year-old male fence installer presented with one week of progressively severe headache. His headaches were associated with blurred vision, dizziness, fevers and nausea. He had been seen previously and was treated for sinusitis but his symptoms did not improve with a steroid taper and antibiotics. He developed lethargy and mild confusion, [...]
Abstract Number: 823
ABDUCENS NERVE PALSY AS THE PRESENTING SIGN OF CRYPTOCOCCAL MENINGITIS
SHM Converge 2023
Case Presentation: A 54 year-old African American female with a past medical history of hypertension and sickle cell anemia presented with acute onset of headache, blurry vision and confusion with multiple falls over ten days. On presentation, her vitals were within normal limits. She was lethargic and only able to answer simple questions. Physical examination [...]
Abstract Number: 913
CRYPTOCOCCAL MENINGITIS MASQUERADING AS HEPATIC ENCEPHALOPATHY
SHM Converge 2024
Case Presentation: 5 59-year-old male with alcoholic cirrhosis, hypertension, COPD, and diabetes mellitus presented with a 3-month history of progressive confusion and altered mental status. His family reported memory decline, prompting multiple ER visits primarily focused on cirrhosis-related complications, overlooking the neurological symptoms’ etiology. Initial improvement following hepatic encephalopathy treatment was short-lived, leading to rapid [...]
Abstract Number: 1127
CRYPTOCOCCAL MENINGITIS PRESENTING WITH CN6 PALSY IN A RENAL TRANSPLANT PATIENT
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 52-year-old African American woman presented to her local hospital with a 3-week history of headache and diplopia without an inciting event. At that time, she was treated symptomatically and discharged. After persistent symptoms and new onset imbalance, neck stiffness, vomiting, and blurry vision, she reported to a second hospital. Her past medical [...]
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