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Meeting
Search Results for HLH
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 […]
Abstract Number: 743
SHM Converge 2023
Case Presentation: A healthy 29 y/o male with mild COVID 19 illness three weeks prior presented to the emergency department with one week of fevers, chest pain and shortness of breath. Patient denied recent travel, sick contacts, and was not on any medications.On presentation he was febrile to 103oF and persistently hypotensive after fluid resuscitation. […]
Abstract Number: 745
SHM Converge 2021
Case Presentation: A 22-year-old male with no known medical history presented with complaints of epistaxis for two weeks and subjective fevers. The patient also reported fatigue, and unintentional weight loss for three months. He was tachycardic to 111 on presentation, but otherwise afebrile and normotensive. Pertinent physical exam findings included dried blood in the nares, […]
Abstract Number: 782
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 58 year old previously healthy Nigerian female presented with a 6-week history of high-grade fevers, weakness, malaise, and a 10-pound weight loss. On physical exam she was found to have tachycardia, hypotension, fever (Temperature 103F), altered mental status and peripheral pitting edema. Her hospital course was complicated by hypotension and acute kidney […]
Abstract Number: 791
SHM Converge 2023
Case Presentation: 64-year-old healthy male was admitted for fever, chills, generalized fatigue and jaundice. Physical exam showed scleral icterus. Lab data showed white cell count of 8.2 k/μL, hemoglobin 15.2 g/dL, and platelets 26,000 cells/μL. Patient also had abnormal LFTs with AST 458 U/l, ALT 227 U/l, Bilirubin 8.3 mg/dl and ALP 160 U/l. Patient […]
Abstract Number: 831
SHM Converge 2024
Case Presentation: We present a 70-year-old female with a past medical history of heart failure, atrial fibrillation, COPD, and type-2 diabetes mellitus who was admitted with subjective fevers, vomiting, diarrhea, and intermittent cough for five days. On admission, the patient was alert and oriented but febrile (39C) and tachycardic (112 beats/min). Laboratory tests were significant […]
Abstract Number: 834
SHM Converge 2023
Case Presentation: A 27-year-old female without any significant medical history, who developed acute kidney injury, metabolic acidosis, increasing liver enzymes, coagulopathy, anemia, thrombocytopenia and undifferentiated shock requiring pressors on 6th post-partum delivery. Peripheral smear showed atypical lymphocytes, dohle bodies and neutrophils with toxic vacuolization, suggesting an inflammatory processOther labs were significant for elevated ferritin levels […]
Abstract Number: 881
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year-old male (AP) with history of ALL presented with neutropenic fevers after receiving intrathecal methotrexate one day prior. AP was in consolidation phase of treatment with most recent bone marrow biopsy showing hypocellular marrow without evidence of leukemia. On admission, he was febrile to 102.9 degrees Fahrenheit with pancytopenia and ANC […]
Abstract Number: 890
SHM Converge 2023
Case Presentation: Although infrequent, systemic loxoscelism can occur following a brown recluse spider bite and result in dermal necrosis, hemolytic anemia, DIC and renal failure. We present a case of an eight year old male who developed Hemophagocytic Lympho-Histiocytosis (HLH) secondary to systemic loxoscelism. The patient presented with gross hematuria, abdominal pain, and fever. The […]