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Search Results for HLH
Abstract Number: 22
SHM Converge 2023
Case Presentation: Hemophagocytic lymphohystiocytosis (HLH) is a rare cause of pancytopenia. Patients with sickle cell disease can present with pancytopenia and recognition of (HLH) in patients with sickle cell disease may be a lifesaving diagnosis.Case presentation:A 39-year-old female with past medical history of sickle cell anemia and moyamoya disease was admitted with sickle cell vaso-occlusive […]
Abstract Number: 388
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 35 year old female with no significant past medical history developed fever late in the third trimester of her second pregnancy. The prior and current pregnancy had been uneventful. The fever was believed to be viral and she rested at home. After being seen by her OB with persistent fever, she was […]
Abstract Number: 424
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 29-year-old Caucasian woman presented to the emergency department with fever, sore throat, epigastric and right upper quadrant abdominal pain of 5 days duration. Physical examination was positive for fever (40oC), tachycardia (heart rate 114 beats per minute), and a palpable liver and spleen on abdominal examination. Notable laboratory investigations included pancytopenia – […]
Abstract Number: 500
SHM Converge 2023
Case Presentation: A 26-year-old man with history of virally undetectable HIV, presented with 3 weeks of intermittent fevers and night sweats associated with chills, non-productive cough and generalized weakness, but denied weight loss. Vital signs revealed fever of 101.3F, tachycardia (pulse 118 bpm) and hypotension (blood pressure 95/61 mmHg). Physical exam revealed cervical and axillary […]
Abstract Number: 513
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 60-year-old previously healthy female presented with a two-week history of intermittent fever with non-pruritic rash, generalized myalgias and arthralgia, weakness, and chest pain. Her exam revealed temperature of 39.3 degrees Celsius, anterior chest tenderness to palpation, diffuse salmon-colored maculopapular rash at bilateral extensor surfaces of upper extremities, and multiple coalescing annular rash […]
Abstract Number: 617
SHM Converge 2023
Case Presentation: A 23-year-old male with granulomatosis with polyangiitis with renal involvement (on azathioprine), stage 4 chronic kidney disease (baseline renal function) presented with fever, weight loss, and new pancytopenia. Broad-spectrum antibiotics were started and a comprehensive infectious work-up was done, including bacterial cultures, viral tests, and fungal serologies. Initial imaging was unremarkable for any […]
Abstract Number: 633
SHM Converge 2023
Case Presentation: A 57-year-old man with congestive heart failure and coronary artery disease presented with shortness of breath of two days duration. He denied fevers, chills, chest pain, or cough. Presenting vitals were significant for oxygen saturation of 80%, requiring. All other vitals were within normal limits. Physical exam was unremarkable. His labs were significant […]
Abstract Number: 706
SHM Converge 2021
Case Presentation: A 34 year-old female with a history of anxiety and depression initially presented to an outside hospital and then was transferred to our facility for jaundice. She had given birth 2 months prior to presentation to a healthy child; however, the pregnancy was complicated by severe preeclampsia. On exam, she had a high-normal […]
Abstract Number: 708
SHM Converge 2023
Case Presentation: A 27-year-old incarcerated female with no past medical history presented with abdominal pain and fevers. Initial workup demonstrated neutropenia, anemia, and thrombocytopenia as well as an elevated ferritin level of 2000mg/dL. Abdominal imaging revealed hepatomegaly and diffuse adenopathy concerning for a lymphoproliferative disorder. A comprehensive workup revealed a positive EBV PCR, positive HSV […]
Abstract Number: 735
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 69-year-old female with a medical history of morbid obesity presented to a rural hospital with a one-week history of extreme fatigue, malaise, jaundice, and anorexia. Her initial vital signs were unremarkable. Physical exam revealed a distressed-appearing woman with diaphoresis, scleral icterus, jaundice, and lower extremity edema. Laboratory findings revealed significant elevation of […]