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Search Results for hemophagocytic
Abstract Number: 693
Hospital Medicine 2020, Virtual Competition
Case Presentation: A healthy 38 yo woman presented to hospital with 3 weeks of fatigue. She was recently treated for a urinary tract infection but continued to feel unwell. She complained of mild LUQ abdominal pain. On review of systems she endorsed weight loss, fever and night sweats but denied chest pain, dyspnea, easy bleeding, […]
Abstract Number: 708
SHM Converge 2023
Case Presentation: A 27-year-old incarcerated female with no past medical history presented with abdominal pain and fevers. Initial workup demonstrated neutropenia, anemia, and thrombocytopenia as well as an elevated ferritin level of 2000mg/dL. Abdominal imaging revealed hepatomegaly and diffuse adenopathy concerning for a lymphoproliferative disorder. A comprehensive workup revealed a positive EBV PCR, positive HSV […]
Abstract Number: 720
SHM Converge 2021
Case Presentation: A 39-year-old previously healthy woman presented to the hospital with worsening fever, arthralgia, nausea, vomiting, and diarrhea after discovering a tick bite two weeks prior. She was diagnosed outpatient with Rocky Mountain Spotted Fever (RMSF) ten days before hospital presentation and was prescribed doxycycline, although she missed most doses due to emesis. On […]
Abstract Number: 735
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 69-year-old female with a medical history of morbid obesity presented to a rural hospital with a one-week history of extreme fatigue, malaise, jaundice, and anorexia. Her initial vital signs were unremarkable. Physical exam revealed a distressed-appearing woman with diaphoresis, scleral icterus, jaundice, and lower extremity edema. Laboratory findings revealed significant elevation of […]
Abstract Number: 743
SHM Converge 2023
Case Presentation: A healthy 29 y/o male with mild COVID 19 illness three weeks prior presented to the emergency department with one week of fevers, chest pain and shortness of breath. Patient denied recent travel, sick contacts, and was not on any medications.On presentation he was febrile to 103oF and persistently hypotensive after fluid resuscitation. […]
Abstract Number: 745
SHM Converge 2021
Case Presentation: A 22-year-old male with no known medical history presented with complaints of epistaxis for two weeks and subjective fevers. The patient also reported fatigue, and unintentional weight loss for three months. He was tachycardic to 111 on presentation, but otherwise afebrile and normotensive. Pertinent physical exam findings included dried blood in the nares, […]
Abstract Number: 782
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 58 year old previously healthy Nigerian female presented with a 6-week history of high-grade fevers, weakness, malaise, and a 10-pound weight loss. On physical exam she was found to have tachycardia, hypotension, fever (Temperature 103F), altered mental status and peripheral pitting edema. Her hospital course was complicated by hypotension and acute kidney […]
Abstract Number: 831
SHM Converge 2024
Case Presentation: We present a 70-year-old female with a past medical history of heart failure, atrial fibrillation, COPD, and type-2 diabetes mellitus who was admitted with subjective fevers, vomiting, diarrhea, and intermittent cough for five days. On admission, the patient was alert and oriented but febrile (39C) and tachycardic (112 beats/min). Laboratory tests were significant […]
Abstract Number: 834
SHM Converge 2023
Case Presentation: A 27-year-old female without any significant medical history, who developed acute kidney injury, metabolic acidosis, increasing liver enzymes, coagulopathy, anemia, thrombocytopenia and undifferentiated shock requiring pressors on 6th post-partum delivery. Peripheral smear showed atypical lymphocytes, dohle bodies and neutrophils with toxic vacuolization, suggesting an inflammatory processOther labs were significant for elevated ferritin levels […]
Abstract Number: 869
SHM Converge 2024
Case Presentation: A 29-year-old female with a past medical history of microcytic anemia and recently-diagnosed AOSD presented with 2 weeks of progressive dyspnea. On her preceding hospital admission, her AOSD was diagnosed and clinical suspicion for MAS was initially mounted. At that time, she demonstrated polyarthralgia, pruritic rash, high-grade fevers, hepatosplenomegaly, diffuse lymphadenopathy, neutrophilic leukocytosis, […]