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Abstract Number: 208

CRYPTCOCCUS GATTII INFECTION IN AN IMMUNOCOMPETENT PATIENT: A DIAGNOSTIC AND THERAPEUTIC CHALLENGE

SHM Converge 2026

Case Presentation: A 59-year-old immunocompetent woman presented with a one-month history of persistent migraine headaches and two weeks of nausea and vomiting. Initial laboratory workup and CT imaging of the head and abdomen were unremarkable. During hospitalization, she experienced a syncopal episode with seizure-like activity. MRI of the brain revealed hyperintense periventricular and subcortical white [...]

Abstract Number: 209

AUTOBULLECOTMY: THE SPONTANEOUS RESOLUTION OF A PULMONARY BULLA

SHM Converge 2026

Case Presentation: A 73-year old male, retired autoplant machine technician presented to the ED two weeks ago for a three-day history of progressively worsening shortness of breath likely secondary to a COVID-19 positive infection. His past medical history included Stage IV adenosquamous carcinoma of the right lung status post chemotherapy, provoked pulmonary embolus on anticoagulation, [...]

Abstract Number: 210

SILENT CALCIFICATIONS: A CASE OF FAHR’S SYNDROME WITH NO RESIDUAL NEUROLOGICAL DEFICITS

SHM Converge 2026

Case Presentation: A 30-year-old male with history of seizure disorder presented to the emergency department following a witnessed epileptic event. His only medical history is two tablets of tums three times a day with meals; however, he accidentally missed two days-worth of doses. Physical examination was unremarkable. Labs were pertinent for Ionized Calcium 0.46 mmol/L [...]

Abstract Number: 211

EARLY-ONSET EMPHYSEMA IN THE E-CIGARETTE ERA: A CALL TO ACTION FOR YOUTH TOBACCO PREVENTION

SHM Converge 2026

Case Presentation: This is a case of a 24 year old male with a past medical history of seizure disorder presented to the emergency room with a complaint of retrosternal chest pain which was worse with inspiration which started in the morning while he was smoking his electronic cigarette. Workup in the emergency room included [...]

Abstract Number: 212

FROM CAP TO CRISIS: ANCA-ASSOCIATED GLOMERULONEPHRITIS TEETERING ON THE BRINK OF DEMISE

SHM Converge 2026

Case Presentation: What began as a presumed respiratory infection quickly unraveled into a life-threatening journey, uncovering an underlying pathology that might have remained hidden. This case is being presented to highlight the dramatic hospital course that this patient underwent and to note an anchoring bias that was present before the discovery of the true diagnosis. [...]

Abstract Number: 213

A BENIGN PERICARDIAL CYST WITH MALIGNANT BEHAVIOR: PROGRESSIVE ENLARGEMENT AND COMPRESSION MIMICKING ACUTE CORONARY SYNDROME

SHM Converge 2026

Case Presentation: A 57-year-old man with heart failure with reduced ejection fraction of 25%, hypertension, type 2 diabetes, untreated obstructive sleep apnea, and inconsistent outpatient follow-up presented with acute pressure-like chest pain radiating to the left axilla. Laboratory evaluation showed a troponin of 189 ng/L, pro-BNP 1239 pg/mL, eosinophilia of 9.2%, and a urine drug [...]

Abstract Number: 214

FROM VIRAL INFECTION TO NEUROLOGICAL CRISIS: A CASE OF COVID-19 ASSOCIATED ENCEPHALITIS

SHM Converge 2026

Case Presentation: A 21-year-old woman with no significant medical history presented to the hospital with altered mental status. Her mother, who was at the bedside, provided the clinical history. On arrival, the patient was nonverbal and exhibited right-sided hemiparesis and aphasia .Initial laboratory studies revealed leukocytosis, elevated inflammatory markers, transaminitis, and an elevated troponin level. [...]

Abstract Number: 215

HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS TRIGGERED BY HODGKIN LYMPHOMA: A DIAGNOSTIC AND THERAPEUTIC CHALLENGE

SHM Converge 2026

Case Presentation: A 42-year-old transgender female with recently diagnosed nodular sclerosing Hodgkin lymphoma presented after a syncopal episode in the setting of cachexia and malnutrition. She had been discharged the day prior after multiple transfusions and biopsy confirming Hodgkin lymphoma. On arrival, she was hypotensive, tachycardic, febrile, and hypoglycemic. She was diagnosed with distributive and [...]

Abstract Number: 216

A RARE PRESENTATION OF SMALL CELL LUNG CANCER WITH CONCURRENT METASTATIC ADENOCARCINOMA

SHM Converge 2026

Case Presentation: A 57 -year-old male with a history of small cell lung cancer with metastases to the liver and bone, status post four cycles of chemotherapy, presented with coffee-ground emesis and constipation. Endobronchial ultrasound- guided fine-needle aspiration revealed small cell lung carcinoma with malignant cells in the #7 node and carina, positive for CD56. [...]

Abstract Number: 218

ISOLATED FACIAL NERVE PALSY: A RARE NEUROLOGICAL MANIFESTATION OF SEVERE HYPOTHYROIDISM

SHM Converge 2026

Case Presentation: A 59-year-old female with a history of hyperlipidemia and hypothyroidism presented to the emergency department with a right-sided facial droop. Physical examination revealed a right-sided facial droop, inability to close the right eye, and impaired eyebrow raise. Signs of myxedema coma were not present. Initial non-contrast CT of the head showed no evidence [...]

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