Session Type
Meeting
Search Results for Meningitis
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: 507
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 28-year old Vietnamese man who has sex with men (MSM) with recent diagnosis of AIDS, on antiretroviral therapy (ART), presented to the hospital with 1 month of fevers associated with headaches, night sweats, anorexia, and diarrhea. He was born in Vietnam but moved to the United States 2 years prior to presentation […]
Abstract Number: 521
SHM Converge 2024
Case Presentation: A 32-year-old Human Immunodeficiency Virus (HIV)-negative male presented with one week of headaches, dizziness, blurry vision, nausea, and vomiting. He denied fevers, chills, cough, hemoptysis, neck pain or stiffness, recent travel, sick contacts, photophobia, or phonophobia. He was recently diagnosed with cryptococcal meningitis (CM) and cryptococcal pneumonitis (CP) after presenting previously with 1.5 […]
Abstract Number: 522
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 69 year old right-handed Asian male presented with 2 episodes of right sided focal seizures. He has a past medical history significant for chronic headaches of 4 year duration and was being treated for presumed tuberculous meningitis based on lymphocytic pleocytosis with elevated protein in Cerebrospinal Fluid (CSF) analysis, leptomeningeal enhancement in […]
Abstract Number: 539
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64 year old male suffered from gradual onset fatigue and change in mentation over the course of a month. His symptoms then progressively worsened as he became confused and developed intermittent headaches. Past medical history includes pulmonary sarcoidosis, treated with 20mg of prednisone daily. On presentation, the patient had no neck stiffness. […]
Abstract Number: 561
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 76-year-old Hispanic man with poorly-controlled diabetes mellitus complicated by nephropathy presented to a hospital with 2 weeks of nausea, vomiting, and progressive lethargy. During the initial evaluation, he developed a focal right-sided seizure advancing to a generalized tonic-clonic seizure lasting 30 seconds. He was afebrile, hypertensive, and non-tachycardic with normal saturation on […]
Abstract Number: 570
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 35 year-old undomiciled male with a history of epilepsy and recurrent aseptic meningitis was brought in to the emergency department after being found unresponsive. Initial vital signs were notable for temperature of 102˚F. He was intubated in the emergency department and a lumbar puncture was done consistent with a bacterial meningitis (WBC […]
Abstract Number: 579
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 21 year-old man on the rehabilitation service was evaluated for fever and headache. Approximately 1 year previously he was found to have a posterior fossa medulloblastoma that was resected and repaired with a bovine duragraft. Post-operative MRI showed no abnormal contrast enhancement and a lumbar puncture (LP) was unremarkable. Brain and spinal […]
Abstract Number: 587
SHM Converge 2023
Case Presentation: We present a case-series of 3 immunocompetent patients who presented with cryptococcal meningitis.Case 1: A 49-year-old HIV-negative male, with a history of treated tuberculosis and Hepatitis B, presented with dizziness. CT chest revealed a cavitary lung lesion, and subsequent bronchoscopy and endobronchial ultrasound (EBUS) with lavage and biopsy demonstrated cultures positive for C. […]
Abstract Number: 607
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 56 year-old man with a history of immunosuppressive therapy with prednisone and tacrolimus for a cadaveric kidney transplant presented with 1 month of personality change and lethargy. He was also noted to have generalized weakness and fatigue. He was initially seen 3 weeks prior to admission for these symptoms, which were attributed […]