Session Type
Meeting
Search Results for Histoplasmosis
Abstract Number: 478
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 44 year-old man who resides in Alexandria, LA presented via air ambulance from Honduras with three weeks of fever, night sweats, and right upper quadrant abdominal pain. He had associated nausea, vomiting, diarrhea, and headache. Exam was notable for fever and hepatomegaly. Serum studies revealed a creatinine of 6 mg/dL, elevated AST, […]
Abstract Number: 540
SHM Converge 2021
Case Presentation: A 48-year-old female with AIDS, HFrEF, asthma, and hypertension presented with weight loss, fatigue, chills, abdominal pain, vomiting, left neck swelling, and purulent mouth drainage over the last 2-3 weeks. She was febrile to 102.9 F, hypotensive (85/64), tachycardic, tachypneic, and had firm, mobile, 2-3 cm cervical lymph nodes and enlarged tonsils. Labs […]
Abstract Number: 550
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 72-year-old-female presented to the ED with an 8-month history of intermittent, progressive, substernal chest pain. EKG showed normal sinus rhythm without ischemic changes and troponin was negative. CT Angiogram showed a moderate pericardial effusion and mild wall thickening of the thoracic aorta concerning for vasculitis. Cardiac MRI showed aortitis with mild pericarditis […]
Abstract Number: 599
SHM Converge 2023
Case Presentation: A 55-year-old woman with a history of rheumatoid arthritis presented for generalized weakness, dysuria, nausea, and dizziness of 1 week duration. She developed progressive weakness with associated decreased exercise tolerance, nausea, and diarrhea. Her oral intake decreased. There was no inciting event and did not note any recent close contacts with similar symptoms.Her […]
Abstract Number: 639
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 42-year-old female presented to the emergency department with a 2-week history of jaundice, intermittent abdominal pain, hip pain, and fevers. Her past medical history was significant for ankylosing spondylitis. She was on chronic immunosuppression with prednisone, Plaquenil and Infliximab. Initial evaluation was remarkable for abnormal liver function and thrombocytopenia (Table 1). The […]
Abstract Number: 654
SHM Converge 2021
Case Presentation: A 61-year-old male with biopsy-proven untreated pulmonary sarcoidosis presented with altered mental status and fever. He had recent admissions for occipital CVA after presenting with dizziness and blurred vision, and pulmonary emboli after presenting with fevers and dyspnea. Urinalysis and blood cultures were negative. (1-3)-B-d-glucan was elevated to 246 pg/mL (65 years), immunocompromise […]
Abstract Number: 735
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old man was admitted to the hospital medicine service at a quaternary center for painful oral lesions that appeared 6 months prior. The lesions had started as multifocal soreness in the mouth floor 2 weeks after having undergone dental work. He was then evaluated by local oral surgery team who performed biopsies […]
Abstract Number: 747
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 34-year-old Liberian woman with a history of HIV and AIDS diagnosed 10 years prior had not been taking anti-retroviral therapy for the past four years when she presented with two weeks of fever, frontal headache, vomiting, right upper quadrant abdominal pain, and non-productive cough. She had no recent travel. When she arrived, […]
Abstract Number: 748
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old man with untreated HIV presented with two weeks of worsening nausea, headache and diplopia. In addition, the patient had some confusion limiting his ability to recall pertinent medical history other than several years ago he was treated for a fungal brain infection. He denied any fevers, weight changes, abdominal pain, or […]
Abstract Number: 822
SHM Converge 2023
Case Presentation: A 54-year-old- man with past medical history of Acquired immunodeficiency syndrome, recurrent Herpes simplex virus lesion, prurigo nodularis, presented with generalized weakness for one week. On physical examination, diffuse cervical, inguinal and popliteal lymphadenopathy was noted. Echocardiogram showed moderate pericardial effusion, which prompted the patient to undergo emergent pericardiocentesis in the setting of […]