Session Type
Meeting
Search Results for Encephalitis
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: 803
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 51-year-old African female with 7-year untreated HIV infection presented with sudden-onset acute psychosis. She was agitated and reported auditory hallucinations upon arrival. On exam, she was hemodynamically stable but appeared drowsy, intermittently following one-step commands. She did not have meningismus or focal neurological deficits. Physcial exam of other systems was unremarkable.CBC and […]
Abstract Number: 814
SHM Converge 2024
Case Presentation: A female patient in her 70s, with a history notable for hypothyroidism who initially presented to an outside hospital with complaints of left-hand paresthesia, numbness, and dizziness. She underwent an extensive work up for CVA with no acute findings on non-contrast MRI brain or cervical spine. During her hospital course she developed worsening […]
Abstract Number: 816
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is a 64 year old male with a past medical history of bipolar disorder without previous psychiatric admissions, type 2 diabetes mellitus, stroke and autoimmune encephalitis that presented to the emergency room from a subacute rehabilitation facility (month long stay since an L3-L4 discectomy) with altered mental status. While at the rehabilitation […]
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: 842
SHM Converge 2023
Case Presentation: A 32-year-old female was admitted after a seizure. Brain MRI was unremarkable and lumbar puncture yielded 133 white blood cells with 100% lymphocytes. Within a few days, refractory seizures occurred. Due to suspected autoimmune encephalitis, plasma exchange and high-dose steroids were started. Cerebral spinal fluid (CSF) studies returned with IgG antibody levels for […]
Abstract Number: 855
SHM Converge 2023
Case Presentation: A 71 years old female with a history of hypertension presented with nausea, vomiting, and fall. She had non-bloody, non-bilious emesis after eating pork 2 days prior to admission. She worked in a kindergarten with no definitive sick contacts. She did not have abdominal pain or diarrhea but she experienced lightheadedness. She was […]
Abstract Number: 866
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year old woman presented with a generalized tonic clonic seizure and progressively worsening ataxia over the last six months. She also had memory deficits and diplopia. Her past medical history included Li Fraumeni syndrome and an immature ovarian teratoma that was treated with a right oophorectomy and chemotherapy in 2015. Her […]
Abstract Number: 876
SHM Converge 2024
Case Presentation: Our 28-year-old female patient with a history of acute myeloid leukemia (AML) and allogeneic peripheral blood stem cell transplant presented to the Emergency Department (ED) for the evaluation of intermittent confusion and word-finding difficulty for one week. The patient’s vitals on admission were within normal limits. A physical examination was significant for diffuse […]
Abstract Number: 886
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: We present a previously healthy 22-year-old female presenting with disorganized behaviors, restlessness and sub-acute decline in mental status. There was no other relevant medical, personal or familial history. However, she had stressors three days before initial change in behavior, such as infidelity with her significant other and she had tremendous anxiety and guilt […]