Session Type
Meeting
Search Results for Nephritis
Abstract Number: 436
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 54 years old man with a history of hypertension was hospitalized due to elevated BUN/creatinine of 33/4.6 mg/dL and Hb of 9.9 mg/dL (baseline 15). He endorsed dyspnea on exertion, anorexia and weight loss of 15 pounds in 6 months. One month ago, he was treated for acute bronchitis with levofloxacin and was […]
Abstract Number: 486
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Introduction: Hydralazine is an adjunctive antihypertensive medication that is associated with antineutrophil cytoplasmic antibody (ANCA) – associated vasculitis. Kidney involvement usually comprises a pauci-immune, necrotizing glomerulonephritis with crescents. We describe a rare case of hydralazine induced ANCA positive vasculitis with acute tubulointerstitial nephritis and without glomerular involvement. Case Report: A 74 year old […]
Abstract Number: 512
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Xanthogranulomatous Pyelonephritis (XGP) is an uncommon sequelae of chronic renal inflammation whose process may invade local structures. We present a rare case of an invasive Xanthogranulomatous Pyelonephritis (XGP) extending into the thoracic cavity in a 48 year-old female presenting with chronic productive cough. This previously healthy patient presented with dyspnea, productive cough, and […]
Abstract Number: 559
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 43 year-old-woman with no known medical history presented with two months intermittent fever, cough, pleurisy, hematuria, and weight loss. On exam she had diffuse crackles and lower extremity edema. The patient was intubated for respiratory distress. Laboratory workup revealed acute anemia and urinalysis consistent with nephritic syndrome. Chest x-ray showed bilateral diffuse […]
Abstract Number: 593
SHM Converge 2021
Case Presentation: This patient is a 74-year old male with CAD, HFpEF, HTN, Type 2 DM, CKD3, and obesity admitted for sepsis secondary to bilateral lower extremity purulent cellulitis, complicated by acute decompensated heart failure. He was started on cefepime 2 g twice daily and on vancomycin (vanco), dosed daily by level. After receiving only two doses of vanco 1g, the patient was found to have persistently elevated […]
Abstract Number: 595
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 20 year old man with history of Systemic Lupus erythematous (SLE) with Lupus nephritis presented to the hospital with cough and hemoptysis for the past few days. He was found to have severe anemia (5.4 mg/dl), thrombocytopenia (52,000/mm3), elevated LDH (829), low haptoglobin (<8), hypocomplentemia (low C3 and C4), schistocytes on peripheral […]
Abstract Number: 606
SHM Converge 2021
Case Presentation: A 56 year-old man with schizoaffective and antisocial personality disorders was admitted from the county jail witha 4-day history of fever, hemoptysis, severe headaches, hematuria, diffuse myalgias,and bloody diarrhea. Officers reported the patient frequently flooded his cell and ingested toilet water. A CXR revealed L>R bibasilar infiltrates, and a diagnosis of Legionellapneumonia was […]
Abstract Number: 621
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 86 years old male with a history of pulmonary fibrosis, HTN, CHF, RA, valve replacement presented after left eye transient visual loss and exertional dyspnea. He reported an episode of painless vision loss in the left eye, felt like a grey curtain was pulled down over his left eye and lasted about 30 seconds. He […]
Abstract Number: 630
Hospital Medicine 2020, Virtual Competition
Case Presentation: Fibrillary glomerulonephritis and immunotactoid glomerulopathy are rare renal disorders, being present in 0.5 to 1.4 percent of kidney biopsies. Although they are distinct glomerulopathies, they are both nonamyloid fibrillary glomerular diseases and as such, they are Congo red negative on immunohistochemistry. Discussion: Patient is a 75 years old male with PMH of HTN, […]
Abstract Number: 636
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57-year-old man presented with three weeks of palpable petechial rash, abdominal pain, polyarthralgia and edema. The rash started as “red dots” on his abdomen and spread throughout his body. On exam, he exhibited diffuse palpable purpura with blistering to his bilateral feet. Initial work up was notable for creatinine (Cr) 3.30 from […]