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Search Results for virus
Abstract Number: 630
SHM Converge 2021
Case Presentation: A 31-year-old male with a past medical history of dilated cardiomyopathy (ejection fraction 20%) presented with shortness of breath. Initial blood pressure was 83/53 mmHg. His breathing became agonal and therefore he was intubated. Physical examination demonstrated jugular venous distention and cold extremities. Chest radiography (Figure 1) revealed diffuse and complete opacification of […]
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: 641
SHM Converge 2023
Case Presentation: The patient is a 31 year old male with a medical history of HIV on antiretroviral therapy who was seen in the emergency department for chest pain and dyspnea, then discharged after a negative cardiac workup. He re-presented two days later with worsening chest tightness, dyspnea, and vomiting. On examination, the patient was […]
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: 655
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 63 year-old gentleman had a history of ischemic cardiomyopathy treated with Orthotopic Heart Transplant (OHT), on tacrolimus & prednisone; cutaneous Kaposi Sarcoma (KS); & negative pre-transplant Human Herpesvirus 8 (HHV8) serology. He presented 5 months after OHT with progressive dyspnea on exertion, orthopnea & bilateral lower extremities swelling since 1 week. On […]
Abstract Number: 658
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 29-year-old otherwise healthy male presented to the emergency department with a 1-day history of abdominal pain radiating to his back and associated with nausea and nonbilious vomiting. He denied any fever, chills, heartburn, shortness of breath, chest pain, coughing, urinary symptoms, or change in bowel movements. He denied any previous similar pain. […]
Abstract Number: 668
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Most complications of Hepatitis C virus (HCV) infection, such as progressive fibrosis and cirrhosis, hepatic decompensation, and hepatocellular carcinoma (HCC), are related to chronic infection. Upon adequate treatment of HCV with sustained virologic response (SVR), patients without prior bridging fibrosis or cirrhosis are at a lower risk of developing complications. This is a […]
Abstract Number: 668
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old male presented with one week of new onset fevers and fatigue. Past medical history included primary sclerosing cholangitis, orthotopic liver transplant 12 years ago and Epstein-Barr virus (EBV) negative post transplant lymphoproliferative disease (PTLD) with partial response to single-agent Rituximab treatment one-year prior.The patient reported debilitating fatigue, daily low-grade fevers, night […]
Abstract Number: 670
SHM Converge 2024
Case Presentation: 37 y/o M with a past medical history of SARS-CoV-2 infection one month prior presented after a syncopal episode and complained of inability to move his lower extremities. On exam he was hypotensive and had 0/5 motor strength in his bilateral lower extremities, decreased rectal tone, and absent patellar reflexes. Sensation to light […]
Abstract Number: 677
SHM Converge 2021
Case Presentation: A 36-year-old male with a renal transplant (CMV serostatus: donor positive/recipient negative) presented to an outside hospital with fever and acute hypoxic respiratory failure requiring high flow oxygen. His maintenance immunosuppressants included cyclosporine and mycophenolate. Upon admission, he was started on treatment for community acquired pneumonia and severe COVID-19 pneumonia. Due to lack […]