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Abstract Number: 580
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Our patient was a 58 year old male with a history of metastatic melanoma on nivolumab and ipilimumab who was directly admitted from clinic to the medicine service for increased lethargy and flu-like symptoms. The patient described a one week history of fevers/chills, headache, muscle ache, and malaise; as well as nausea, vomiting, […]
Abstract Number: 625
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 57 year old male with HIV/AIDS was transferred to our hospital for acute onset of lethargy and incoherent speech. He intially presented with a few weeks of headaches, slurred speech, and intermittent confusion, and was diagnosed with toxoplasmosis. He was started on atovaquone and sulfadiazine for taxoplasmosis and levetiracetam for seizure prophylaxis, […]
Abstract Number: 631
SHM Converge 2021
Case Presentation: A 54-year-old female with no significant past medical history presented with lip swelling and shortness of breath following shellfish ingestion. She denied chest pain. Due to concern for angioedema, she received intramuscular epinephrine, intravenous methylprednisolone, diphenhydramine and famotidine. A 12-lead electrocardiogram revealed 2 mm ST segment elevation in leads II, III and aVF […]
Abstract Number: 632
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 55 year old male with a known history of sarcoidosis, hypertension, and penicillin allergy (anaphylaxis) presented with complaints of right swollen testicle associated with pain and dysuria for 2 weeks. Few days prior to the admission, the patient went to an urgent care facility and was treated with Ceftriaxone and Azithromycin. The […]
Abstract Number: 656
SHM Converge 2023
Case Presentation: A 68 year old man with PMH of cerebral palsy, cognitive impairment, and chronic pain with intrathecal baclofen pump initially presented with sepsis due to baclofen pump pocket infection, and underwent explantation of baclofen pump. Intraoperative cultures grew pseudomonas, so on POD 3 cefepime was initiated. On POD 4, he developed encephalopathy, becoming […]
Abstract Number: 659
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 61-year-old man presented to the emergency department with acute onset of fevers, myalgias and generalized erythematous rash after taking five weeks of Trimethoprim-sulfamethoxazole (TMP-SMX) for acute prostatitis. Vital signs were notable for fever and tachycardia, with relative hypotension which responded to initial fluid resuscitation. The patient initially denied abdominal pain however the […]
Abstract Number: 669
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: The patient is a 29-year-old female with the history of acute pancreatitis and gastric bypass surgery, who initially presented with lower extremity swelling in the setting of hypoalbuminemia and protein-calorie malnutrition. She was started on high calorie/protein diet and was discharged on furosemide. Three weeks after discharge, she noticed peri-oral rash, which extended […]
Abstract Number: 677
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: 59-year-old Male who presented to the Emergency Department (ED) with generalized rash and fevers. The patient stated that the rash started as a blister in his groin and then spread to the rest of his body. The patient’s past medical history was significant for seizures controlled with phenytoin, cirrhosis secondary to alcohol abuse, […]
Abstract Number: 702
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 54-year old female was hospitalized for 3-week history of abdominal pain, chills, nausea and diarrhea. Her past medical history was significant for multiple self-reported antibiotic allergies, Roux-en-Y gastric bypass complicated by gastrojejunostomy leak, and prior perisplenic abscess requiring percutaneous drainage. On admission, blood pressure was 137/79, heart rate of 80, respirations 20, […]
Abstract Number: 703
SHM Converge 2024
Case Presentation: 76 year old male with non-Hodgkin lymphoma presented with shortness of breath and cough and was admitted with acute hypoxic respiratory failure (AHRF). Last chemotherapy treatment was one month before presentation with rituximab, in addition to other agents. He had completed 2 out of 6 planned chemotherapy cycles. On physical exam, there were […]