Session Type
Meeting
Search Results for Fungal
Abstract Number: 683
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 38-year-old male patient with a history of intravenous drug use was transferred from an outside hospital after initial presentation with persistent fevers, episodic flushing and swelling in right hand and forearm. Workup at the other hospital included blood cultures positive for unspeciated yeast, and a transthoracic echocardiogram with normal ejection fraction (65%) […]
Abstract Number: 686
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 40-year-old man with inconsistently treated HIV infection presented with a progressive cough, dyspnea, and pleuritic chest pain over a two-week period which were associated with fevers, chills, night sweats, and a 40-pound weight loss. He emigrated from Mexico 10 years prior and had traveled to the central valley of California. On physical […]
Abstract Number: 689
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Progressive dysphagia associated with weight loss is usually related to upper gastrointestinal cancer. As a differential diagnosis, fungal infections may present with a similar clinical presentation due to upper GI lesions. Paracoccidioidomycosis (PCM) infection is a systemic granulomatous disease caused by the fungi Paracoccidioides brasiliensis, especially important in rural areas of Latin America. […]
Abstract Number: 702
SHM Converge 2024
Case Presentation: A 23-year-old male with a history of migraines and a renal transplant presented to the ED with diffuse headaches and photophobia. He was treated with Ganciclovir and Doxycycline for positive HHV6 and Lyme disease, respectively. His MRI was negative for intracranial abnormalities but, CSF showed elevated protein and glucose. A repeat LP a […]
Abstract Number: 717
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 47-year-old immunocompetent male with a medical history significant for active intravenous heroin abuse presented to the hospital with fever and respiratory distress. On admission, he was diaphoretic, febrile, and hypoxemic with an oxygen saturation of 70% on ambient air, necessitating intubation and mechanical ventilation. Chest radiography revealed a right lower lobe infiltrate […]
Abstract Number: 724
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 25-year-old female with a history of hypertension and diabetes mellitus (DM) type 1 presented with altered mental status, abdominal pain, and tenderness. On presentation, she was afebrile, hemodynamically stable. Further workup revealed leukocytosis 27000/ml, acute kidney injury with creatinine 2.47 mg/dl, blood glucose 1000 + mg/dl; glycosylated hemoglobin A1c (HbA1c 11.5%); amylase […]
Abstract Number: 800
SHM Converge 2024
Case Presentation: A 53-year-old male, post-allogeneic hematopoietic stem cell transplant (HSCT) for relapsed acute myeloid leukemia (AML) presented to an outside hospital with high fevers, frontal lobe headaches, and blood-tinged sinus drainage, two weeks after completing chemotherapy. Days later, the patient was transferred to our hospital for advanced care, reporting continued fevers (up to 38.6oC), […]
Abstract Number: 818
SHM Converge 2023
Case Presentation: An 87-year-old man presented to the emergency room for exertional dyspnea, productive cough, and generalized weakness progressive over the past month. Four weeks prior he was hospitalized for community-acquired pneumonia and received a 10-day course of a third-generation cephalosporin with minimal improvement. He continued to have a productive cough and exertional shortness of […]
Abstract Number: 865
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 65-year-old man presents with five days of altered mental status, ataxia, and headaches. Four months prior, he traveled to Arizona. Soon after, he sought care for sinus pain, cough, weight loss, and diplopia. Lumbar puncture (LP) at the time showed 492 white blood cells (WBCs)/μl (80% lymphocytes), protein 509 mg/dL, and glucose […]
Abstract Number: 878
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 64-year-old male, history of ischemic cardiomyopathy, chronic right ventricular failure, arrhythmia, and new infarcts, status post cardiac transplant. While recovering in the cardiac ICU, the patient started experiencing confusion and personality changes, and was unable to recognize his mom. On CT scan, the patient was shown to have a […]