Session Type
Meeting
Search Results for immunocompromised
Abstract Number: 929
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 68-year-old African-American woman with known history of refractory IgG kappa multiple myeloma presented with fever, congestion, and purulent drainage from both ears that had been progressively worsening over the past week. She initially attributed her symptoms to sinus infection and self-treated with a Neti Pot using non-sterile water. The Neti Pot was […]
Abstract Number: 930
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 57-year-old man with past medical history of hypertension and left partial nephrectomy for renal cell carcinoma presented to the emergency department with several days of fevers, diarrhea, and fatigue. On examination, the patient was lethargic and febrile to 103°F with a blood pressure of 80/50mmHg. His labs were notable for an elevated […]
Abstract Number: E27
SHM Converge 2022
Case Presentation: An 85-year-old female with a history of non-Hodgkin’s B-cell lymphoma on Ibrutinib is brought into the emergency department (ED) by ambulance for generalized, progressive weakness and recurrent falls. She was recently diagnosed with herpes zoster 2 weeks prior, on her right upper extremity and denies being started on any medication. She complained of […]
Abstract Number: E42
SHM Converge 2022
Case Presentation: A 41-year-old female with a history of orthotopic liver transplant for cirrhosis from non-alcoholic fatty liver disease presented with 1 week of fevers. Her liver transplant was 3 years prior to presentation. She reported a 3-month history of diarrhea and odynophagia preceding the onset of fevers (maximum 38.8 C).On presentation, initial vital signs […]
Abstract Number: G36
SHM Converge 2022
Case Presentation: A 31-year-old man with rheumatoid arthritis (on adalimumab, methotrexate, and prednisone) presented with a 3-day history of fatigue, severe asymmetrical weakness of the lower extremities (left > right), and painful vesicular rash spanning multiple dermatomes in the left > right lower extremities (Image 1). There was no evidence of myelopathy or meningismus on […]
Abstract Number: L43
SHM Converge 2022
Case Presentation: A 90 year old Caucasian female with history of complicated diverticulitis s/p partial colectomy and Waldenstrom’s Macroglobulinemia (last treatment with Cyclophosphamide and Dexamethasone 1 week prior to presentation) was admitted with 2 day history of crampy lower abdominal pain, bloody streaked diarrhea, vomiting, and subjective chills. Physical examination elicited tachycardia and diffuse abdominal […]
Abstract Number: M26
SHM Converge 2022
Case Presentation: A 68-year-old man with a history of cryptogenic cirrhosis and hepatocellular carcinoma status post liver transplant with donor positive for cytomegalovirus (CMV), and recent treated CMV reactivation, was transferred from a nearby hospital with acute hypoxic respiratory failure requiring intubation secondary to Pneumocystis jirovecii pneumonia (PJP) identified on bronchoalveolar lavage. He was treated […]
Abstract Number: N24
SHM Converge 2022
Case Presentation: A 39-year-old female with a history of primary sclerosing cholangitis status post-liver transplant in 1986 on cyclosporine, ankylosing spondylitis, Monoclonal gammopathies with undetermined significance, and migraines presents with progressive headaches, fevers (up to 101 F), and neck stiffness over the past 2 weeks. She was found to have photophobia, meningismus, and a positive […]
Abstract Number: 1001
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 50-year-old female was admitted with shortness of breath, cough and fevers. Her past medical history was significant for breast cancer undergoing active neoadjuvant chemotherapy with doxorubicin and cyclophosphamide. She was hypoxic requiring 2L of oxygen via nasal cannula and febrile to 39.0°C. Labs revealed a WBC of 12.0 x 109/L (4.5-11.0 x […]
Abstract Number: 1099
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 49 year-old man with history of renal transplant due to focal segmental glomerulosclerosis on mycophenolate and prednisone presented with chest tightness, shortness of breath, and productive cough with white sputum for several weeks. He was admitted one month prior with similar complaints and diagnosed with multi-lobar pneumonia. On admission, vital signs were […]