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Meeting
Search Results for Tick
Abstract Number: 484
SHM Converge 2023
Case Presentation: A 54-year-old male with no past medical history presented with chief complaint of generalized weakness, fatigue, headache, loss of appetite and intermittent fever and chills for 5 days. On arrival to the ED, his vitals were notable for temperature was 102.3F.. Labs notable for a hemoglobin 12.5 g/dL, platelets 55×109/L, sodium 128 mmol/L, […]
Abstract Number: 498
Hospital Medicine 2020, Virtual Competition
Case Presentation: A healthy 65-year-old male was admitted to the hospital for presumed COPD exacerbation and despite treatment developed hypoxic respiratory failure and shock, transferring to the intensive care unit (ICU) for further management.On arrival, he was tachycardic (120 BPM), BP 74/47 mmHg, febrile (39.0℃) and mechanically ventilated (RR 14) concerning for septic shock. Examination […]
Abstract Number: 516
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 40 year-old male went camping in southeast Missouri in May and suffered tick bites. He developed a fever, rash and myalgias. He was treated with doxycycline, which was discontinued due to anaphylaxis. Due to worsening abdominal pain and fatigue he went to the hospital. He was febrile, ill-appearing, and jaundiced. He had […]
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: 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: 584
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Anaplasmosis phagocytophilum is a rare, emerging tick borne illness transmitted by the Ixodes Scapularis tick endemic to the North Central and Northeastern United States. With an incidence of 6.1 cases per million in 2010, patients often present with nonspecific symptoms such as fever, leukopenia, thrombocytopenia, and transamintis. Cases outside of endemic areas are […]
Abstract Number: 605
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: This is a 38 year old male with a past medical history of hypertension, hyperlipidemia, bipolar disorder and alcohol abuse who was brought to the emergency room after he collapsed on the subway in May 2018. Several days prior to this episode, he reported cyclical fevers to a maximum of 102F, myalgias and […]
Abstract Number: 607
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 72 year old woman with osteoarthritis presented to with a 3-day history of fever and chills. A few days prior to presentation, she had received a glucocorticoid injection for left knee pain. Upon assessment of her initial vitals, heart rate was 122 bpm, blood pressure was 147/77 mmHg, respiratory rate was 22, […]
Abstract Number: 642
SHM Converge 2021
Case Presentation: A 73-year-old man who had been under quarantine for a week prior to presumed COVID-19 presented to the emergency department (ED) with worsening malaise, fever, and loss of appetite. Two weeks prior, the patient presented to his primary care provider (PCP) with fevers, dry cough, exertional dyspnea, sweats, malaise, anorexia, anosmia, and dysgeusia. […]
Abstract Number: 690
SHM Converge 2021
Case Presentation: A 54-year-old woman presented with severe neck pain and high fevers starting three weeks after spending a weekend in Burlington, Wisconsin. She had a wide breadth of symptoms including Bell’s palsy, shooting leg pain, arm weakness, tinnitus, jaw tightness, feeling like she had “sand in her eye,” and episodes of mental lucidity with […]