Session Type
Meeting
Search Results for Endocarditis
Abstract Number: 436
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 54 years old man with a history of hypertension was hospitalized due to elevated BUN/creatinine of 33/4.6 mg/dL and Hb of 9.9 mg/dL (baseline 15). He endorsed dyspnea on exertion, anorexia and weight loss of 15 pounds in 6 months. One month ago, he was treated for acute bronchitis with levofloxacin and was […]
Abstract Number: 439
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 37-year-old woman with significant history of intravenous substance abuse, six-year-old mechanical mitral valve replaced for mitral regurgitation and non-adherence to medications presented with shortness of breath and fever (103 F). She was hypotensive (84/64mmHg) and tachycardic (130/minutes). She was intubated and mechanically ventilated for acute respiratory failure. Lab results were remarkable for […]
Abstract Number: 442
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 54 year-old-woman presented with one week of progressive fatigue, shortness of breath, and productive cough. Physical exam revealed fever of 101.6⁰ F, poor oral dentition, bilateral pulmonary crackles and left lower quadrant abdominal tenderness. Initial laboratory workup was remarkable for elevated procalcitonin which prompted initiation of broad spectrum antibiotics. Chest X-ray was […]
Abstract Number: 444
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 52-year-old homeless man with a history of a remote stroke with residual left sided hemiparesis and dysarthria, and poorly controlled diabetes presented with fever, diarrhea, left sided body pain and altered mental status for two days.The initial vital: tachycardia and temperature of 101.2 F. On exam, he had poor dentition, dysarthria, left-sided […]
Abstract Number: 466
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 39-year-old man presented with several days of worsening lightheadedness, fevers, and joint pains. His temperature was 99.8 Fahrenheit, pulse 122 per minute, and blood pressure 80/51 mmHg. He looked ill and uncomfortable. His palms and soles had multiple tender, purple-to-black macules and patches 3-30 mm in dimension, consistent with embolic infarcts (image […]
Abstract Number: 471
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A previously healthy 77 year-old woman with a history of porcine mitral valve repair (MVR) presented with left knee pain. Three weeks prior to admission she experienced general malaise and intermittent chills. She then fell resulting in left knee pain and presented three days later due to inability to walk. On examination, she […]
Abstract Number: 477
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 59-year-old male with a bicuspid aortic valve presented to the hospital with a syncopal event. One week earlier, a transesophageal echocardiogram (TEE) done for preoperative assessment had confirmed a heavily calcified bicuspid aortic valve and severe aortic insufficiency. He also reported 2 months of night sweats without fevers, 25-pound weight loss, and […]
Abstract Number: 492
SHM Converge 2023
Case Presentation: Bacterial osteomyelitis is very challenging to treat. This is partly due to the widespread antimicrobial resistance to gram positive bacterium Staphylococcus Aureus. We present a severe case of disseminated staphylococcus aureus osteomyelitis, that includes bacteriemia, psoas abscess, infective endocarditis, osteomyelitis, septic arthritis of knee and shoulder joints. A 63-year-old woman with poorly controlled […]
Abstract Number: 493
SHM Converge 2024
Case Presentation: A 57-year-old female with a medical history of uncontrolled diabetes with a hemoglobin A1C of 14, hypertension, and a previous right-sided stroke presented to the emergency department with a four-day history of nausea, vomiting, watery diarrhea, fever and chills. On presentation, the patient was hemodynamic stable with no fevers. Physical examination revealed no […]
Abstract Number: 504
SHM Converge 2024
Case Presentation: A 66-year-old male with end-stage renal disease on hemodialysis (HD), cervical spine stenosis with chronic constipation and previous stercoral colitis complicated by enterococcal bacteremia presented with two weeks of fevers and generalized weakness. The patient denied cough, runny nose, headaches, abdominal pain, diarrhea, or rash. He further denied recent procedures, hospitalizations, travel, or […]