Session Type
Meeting
Search Results for Lyme Disease
Abstract Number: 341
SHM Converge 2021
Case Presentation: Lyme disease a multisystem disease, occurring globally is caused by the spirochete borrelia burgdorferi and transmitted by the Ixodes tick.(6) The incidence of Lyme carditis (LC) is rare with reported incidences of 4%- 10% but recent studies showing 0.3% to 4% with high grade AV block is the most common presentation.(5,2) We present […]
Abstract Number: 419
SHM Converge 2021
Case Presentation: A 22-year-old female was admitted with a 5-day history of bilateral lower extremity weakness. She received influenza vaccination five weeks prior to the presentation. The patient progressed rapidly over days to quadriplegia and respiratory failure requiring intubation and mechanical ventilation. The cerebrospinal fluid analysis showed albuminocytological dissociation, and nerve conduction studies revealed an […]
Abstract Number: 491
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: We present a 44 year-old male with a diagnosis of Chronic Lyme Disease (CLD) who presented after a recent course of antibiotics with shortness of breath for three months. He revealed a six year history of losing strength in his arms and legs. Due to agitation, he was given lorazepam, diazepam, and morphine […]
Abstract Number: 503
SHM Converge 2021
Case Presentation: A previously healthy 25-year-old woman presented with 3 weeks of headache. Headaches were bilateral, daily, of a severe squeezing quality, and were described as the worst pain of her life. She reported associated fever to 102°F, pressure behind her eyes, photophobia, neck stiffness, nausea, and vomiting. Temperature was 99.7°F, heart rate 99 beats […]
Abstract Number: 517
SHM Converge 2023
Case Presentation: A 67-year-old male presented with progressive bilateral upper extremity weakness, diplopia and neck pain of 1 week duration. Patient noted to have bilateral facial droop, weakness and areflexia of both upper extremities on physical exam. He reported having fevers and bloody diarrhea a few months prior to presentation. Magnetic resonance imaging (MRI) of […]
Abstract Number: 539
SHM Converge 2021
Case Presentation: A 67-year-old female presented with three days of fever, chills, and generalized weakness. She also had myalgia, epigastric pain, darker urine. She reported no recent travel but reported spending time outside gardening and walking/hiking in the woods with dogs, although she did not recallany tick bites. She had a fever of 104 °F, […]
Abstract Number: 553
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 20 year-old, asymptomatic Caucasian man presented to the Emergency Department while vacationing in New Orleans. His home physician instructed him to self-present to the nearest hospital after receiving the patient’s Holter monitor data, which noted third-degree AV block and heart rate nadir of 21. The patient was wearing a Holter monitor due […]
Abstract Number: 568
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 69-year-old female with no significant past medical history presented with three weeks of intermittent fevers followed by 24-hours of persistent fever associated with nausea, fatigue, and malaise. She lived in the metro-Boston area and worked part-time as a dog-walker. She reported a tick bite several weeks ago. Vital signs were notable for […]
Abstract Number: 592
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 29-year-old male patient with no past medical history was admitted initially with bilateral lower extremities (LE) weakness and right side facial paralysis. Before the onset of the symptoms, he reported that he developed round red spots with fever after being in the woods. His neurologic exam was positive for absent reflexes in […]
Abstract Number: 636
SHM Converge 2021
Case Presentation: A 37-year-old male with anxiety presented to the ED in Maine after a week of warmth and irritability, followed by sudden onset nausea and vomiting, epigastric and chest pain with left shoulder radiation, and palpitations. He denied COVID exposures, loss of taste or smell, shortness of breath, dysphagia, changes in weight, or skin […]