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Meeting
Search Results for Encephalitis
Abstract Number: 895
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60 year-old female with no significant past medical history was brought in as a level 2 trauma after being involved in a motor vehicle accident. The non-contrast head CT demonstrated bilateral frontal brain lesions, prompting a brain MRI which revealed a non-enhancing T2/FLAIR hyperintense lesion in the anterior frontal lobes and crossing […]
Abstract Number: 895
SHM Converge 2023
Case Presentation: A 25-day old, full term male, presented to the ED with one day of decreased oral intake and a rectal temperature of 39.2ºC.In the ED, the patient was febrile to 38.6 ºC and had mottled skin with an otherwise unremarkable physical examination. Initial workup included CBC with a WBC of 3.6 10^3/uL, ANC […]
Abstract Number: 962
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65-year old man with a history of coronary artery disease, heart failure, and Crohn’s disease, who is a resident of northern Wisconsin presented with fevers, headache, and neck stiffness. Due to concern for meningitis, he was started empirically on Ceftriaxone, Vancomycin, Ampicillin, and Acyclovir. One day after initiation of therapy, he developed […]
Abstract Number: A29
SHM Converge 2022
Case Presentation: A 75 year old male with atrial fibrillation, osteomyelitis of the right first digit of the lower extremity on IV Vancomycin presented as a transfer from an outside hospital with 3 weeks of worsening pressured speech, delusions, insomnia, and a seizure like event. The patient was admitted for further work up and management […]
Abstract Number: E43
SHM Converge 2022
Case Presentation: A 78 year old previously healthy male presented to the hospital with 1 week of worsening confusion, shuffling gait, headache, and diarrhea. On admission, he was only oriented to person with no focal neurological deficits. Initial vitals were significant for a temperature of 49.2 oC. Imaging on admission including a chest x-ray, CT […]
Abstract Number: P27
SHM Converge 2022
Case Presentation: A 66-year-old male with hypertension, type 2 diabetes, hyperlipidemia, pulmonary emboli with +lupus anticoagulant, and intrathecal morphine pump presented for increasingly frequent episodic altered sensorium. Episodes were described as < 30 seconds of paresthesia, speech arrest, and déjà vu; no loss of consciousness or focal deficits. Onset was 2-3 months prior with associated […]
Abstract Number: 1024
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27 y/o M presented after an episode of confusion and abnormal behavior. Patient reported 1 week of intermittent headaches, nausea, emesis, and dizziness. He had no sick contacts or recent travel. Family history was significant for SLE. On exam he had diffuse weakness but was otherwise neurologically intact without meningeal signs. Initial […]
Abstract Number: 1063
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 82-year-old male was admitted for generalized weakness lasting several weeks. Past medical history consisted of dilated cardiomyopathy status-post AICD, remote history of large B-cell lymphoma, chronic headache and dizziness for years with worsening over the last several months. Patient’s presentation was notable for low grade fever and hypotension. Physical exam showed a […]
Abstract Number: 1105
Hospital Medicine 2020, Virtual Competition
Case Presentation: An elderly man was diagnosed with clear cell renal cell carcinoma in 1987, and treated with left nephrectomy, though developed multi-organ metastatic disease in 2015. After he did not tolerate initial treatment with sunitinib, he received 15 cycles of NKTR-214 and nivolumab as part of a phase I/II study. Three months after his […]
Abstract Number: 1217
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 36 year old African-American gentleman with a history of asthma presented to the Emergency Department with dizziness, numbness of both lower extremities, gait imbalance, bowel and bladder incontinence which had been worsening since the last 2 months. MRI thoracic spine revealed Focus of abnormal T2 signal within the upper thoracic spinal cord […]