Session Type
Meeting
Search Results for Meningitis
Abstract Number: 611
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: An 18 year old male in Florida with a history of asthma developed frontal headaches three months ago. He was diagnosed with sinusitis, and was prescribed oral amoxicillin/clavulanic acid. However, within two weeks his headaches worsened, fevers developed, and his family observed him walking into walls. At an outside hospital, his lumbar puncture […]
Abstract Number: 611
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: We describe a typical presentation of meningococcus meningitis, diagnosed by blood culture. A Congolese man who had recently arrived in New Mexico after living in a Tanzanian refugee camp presented with a 2-day history of worsening diffuse headache, productive cough, non-bloody diarrhea, and persistent fevers. He had not had any sick contacts. He […]
Abstract Number: 614
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 68 year-old female presented with three days of progressively worsening myalgias, headaches, fevers after a cruise through Antica, Saint Martin, and Puerto Rico (PR). She also was confused and unable to walk. She had no neck stiffness or photophobia. On exam, she was alert and oriented to name only, with temperature 103 Fahrenheit. […]
Abstract Number: 630
SHM Converge 2023
Case Presentation: A 70-year-old man presented with acute on chronic cough, dyspnea, chills, and pleuritic chest pain. The patient had returned from Jerusalem four months prior, where he participated in multiple large religious gatherings. Since his travels, the patient also reported weight loss and decreased appetite, with months of cough and sneezing. Vitals included a […]
Abstract Number: 637
SHM Converge 2021
Case Presentation: An otherwise healthy 21 year old woman presented to an outside hospital with developing headache, confusion, twitching, nausea and vomiting. Workup included an unremarkable head CT with LP consistent with aseptic meningitis. Viral meningoencephalitis was suspected, she improved and was discharged. She had recurrence of intermittent frontal headaches with associated dizziness, bilateral lower […]
Abstract Number: 638
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 29-year-old Caucasian male lettuce farmer with no significant past medical history presented to our ED with acutely worsening holocranial throbbing headache, polyarthralgias, intermittent migrating burning rashes, and severe paresthesia to tips of all toes. He reported a three-week history of neck pain, excruciating hyperesthesias to light touch, diffuse abdominal pain, and constipation. […]
Abstract Number: 639
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 47-year-old woman with history of immunoglobulin G (IgG) deficiency presented with severe headache, fever, vomiting, neck pain and photophobia. On the day prior to admission, she received first dose of Intravenous immunoglobulin (IVIG) infusion for recurrent bacterial infections refractory to antibiotic prophylaxis. On examination, her temperature was 100 °F and vital […]
Abstract Number: 640
SHM Converge 2023
Case Presentation: A previously healthy 50 year old female presented to the emergency department with abrupt onset of an intractable headache with altered mental status. On presentation, symptoms were pertinent for headache, neck pain, fever, nausea, and vomiting. Temperature was 103.1F, Heart rate 95 beats per minute (bpm), and blood pressure 102/71. Initial labs were […]
Abstract Number: 664
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A previously healthy 20-year-old male presented with sudden onset urinary retention. He reported mild headaches, fevers, fatigue later followed by acute urinary retention associated with lower abdominal and back pain. Last void was over 24 hours ago. Vitals were stable except for a temperature of 39.9°C. No cervical neck stiffness, meningeal irritation or […]
Abstract Number: 668
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: This is a 77/F with Diabetes Mellitus, Hypertension and severe osteoarthritis who was admitted with 1 day history of mental status change, headache and neck pain with progressive pain in her hands, wrist and knee. Vitals signs revealed fever to 103F, BP 142/72, HR 72 and RR 16. Patient was lethargic but arousable, […]