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Meeting
Search Results for immunocompromised
Abstract Number: 480
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: Patient 1. A 71-year-old woman with no significant past medical history presented to the emergency department with 3 weeks of general malaise and subjective fevers after a trip to Connecticut. Her exam was notable for hypotension, as well as pallor of the skin and conjunctiva. Laboratory evaluation revealed a hemoglobin of 7.8 g/dL, […]
Abstract Number: 502
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 55 year old male with past medical history significant for congestive heart failure, severe persistent asthma and eosinophilic pneumonia on chronic prednisone and status post bronchial thermoplasty presented with fever, cough, shortness of breath and chest pain of 2 weeks and hemoptysis of 3 days duration. He also had two recent hospitalizations […]
Abstract Number: 512
SHM Converge 2023
Case Presentation: A 36-year-old male with a history of B-cell acute lymphoblastic leukemia (ALL) treated with Hyper-CVAD with intrathecal chemotherapy and allogenic hematopoietic stem cell transplant (HSCT) from a haploidentical donor (CMV D-/R+). His ALL relapsed 8 months after transplant and he subsequently underwent pre-phase chemotherapy for future CAR T-cell therapy, developing pancytopenia. He was […]
Abstract Number: 518
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 36 year old male from Central America who immigrated to the United States ten years ago presented with cough and headache accompanied with fevers. He did not have any past medical conditions. On admission his vitals were T 39.1 C, HR 114, RR 20, BP 129/85 mmHg. He was noted to have oral […]
Abstract Number: 537
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Pneumonia in an immunocompromised individual has a broad differential; the initial work-up and selection of antimicrobials can be challenging. We present a case of concomitant pulmonary nocardiosis and Pneumocystis jirovecii pneumonia (PJP). A 60-year-old male with hepatitis C infection status-post treatment with a negative viral load and chronic kidney disease (CKD) due to […]
Abstract Number: 557
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Our patient was a 56 year-old immunocompromised male with a history of active CML (Chronic Myelocytic Leukemia) on active chemotherapy who was undergoing treatment with doxycycline and fluconazole for actinomycosis and coccidioidomycosis diagnosed via BAL (bronchoalveolar lavage) and sputum culture respectively during a recent hospitalization two weeks prior. He presented with persistent non-productive […]
Abstract Number: 589
SHM Converge 2023
Case Presentation: An 83-year-old male with type 2 diabetes (hemoglobin A1C of 10.9) and recurrent herpes zoster presented with 3 days of worsening unilateral facial pain, headache, rash, and nausea. Of note, the patient had been vaccinated with the live varicella zoster virus (VZV) vaccine (Zostavax) 3 years prior. Physical exam revealed a right sided […]
Abstract Number: 632
SHM Converge 2024
Case Presentation: A 71-year-old patient with a past medical history of hypertension, insulin-dependent type two diabetes mellitus with peripheral neuropathy, and deceased donor kidney transplant two years prior (CMV D-/R+ & EBV D+/R+) presented with a complaint of acute onset dark urine, and progressively worsening nausea, vomiting, and intermittent diarrhea. His immunosuppressive regimen consisted of […]
Abstract Number: 648
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: We present a case of a 46-year-old Hispanic male with history of B-cell Acute Lymphocytic Leukemia, Philadelphia chromosome negative and CD20 positive, on remission, receiving maintenance chemotherapy (6-mercaptopurine, vincristine, methotrexate, and prednisone), with his last infusion given 2 weeks prior to admission. His symptoms included 3-day history of severe dyspnea on exertion, pleuritic […]
Abstract Number: 657
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 21-year-old Hispanic male with no past medical history presented to our hospital with worsening abdominal pain for approximately two months. He described the pain as initially intermittent but progressive and was not associated with eating food. In addition, he also complained of a diffuse maculo-papular rash involving the palms and soles that persisted […]