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Abstract Number: 345
SPONTANEOUS TUMOR LYSIS SYNDROME IN SQUAMOUS CELL CARCINOMA OF THE LUNG: A CATASTROPHE WITHOUT A CATALYST
SHM Converge 2026
Case Presentation: Tumor lysis syndrome (TLS) is a life-threatening oncologic emergency characterized by acute metabolic derangements and potential end-organ damage following rapid cell breakdown. It typically arises after chemotherapy-induced tumor cell lysis, and is most often associated with malignancies featuring high cell turnover and tumor burden [1]. While TLS is well described in these settings, [...]
Abstract Number: 346
SYSTEMIC BARTONELLA INFECTION PRESENTING AS CULTURE-NEGATIVE ENDOCARDITIS WITH IMMUNE-COMPLEX CRESCENTIC GLOMERULONEPHRITIS AND COFOUNDING HEPATITIS C-ASSOCIATED CRYOGLUBULINEMIA
SHM Converge 2026
Case Presentation: A 42-year-old man with untreated chronic hepatitis C and a history of culture-negative endocarditis status post porcine aortic valve replacement presented with six months of progressive fatigue, weight loss, fevers, pancytopenia, renal dysfunction, splenomegaly, and a macular rash. Imaging revealed massive splenomegaly, ascites, and lymphadenopathy. Renal biopsy showed diffuse crescentic glomerulonephritis with C3-dominant [...]
Abstract Number: 348
FROM DYSPNEA TO DIAGNOSIS: ANTISYNTHETASE SYNDROME PRESENTING AS RAPIDLY PROGRESSIVE INTERSTITIAL LUNG DISEASE
SHM Converge 2026
Case Presentation: A 44‑year‑old woman with a history of gastroesophageal reflux disease (GERD) presented with progressive dyspnea, recurrent fevers, and arthralgias. Outpatient evaluation revealed restrictive pattern on pulmonary function tests, elevated inflammatory markers, ANA positivity, peripheral eosinophilia, and abnormal chest CT findings with lower lobe consolidations and traction bronchiectasis and concern for Interstitial lung disease [...]
Abstract Number: 349
NOT JUST OTITIS: ENT CLUES FOR GRANULOMATOSIS WITH POLYANGITIS MASQUERADING AS METASTATIC LUNG DISEASE
SHM Converge 2026
Case Presentation: A 75-year-old woman with depression, anxiety, and bilateral hearing loss presented after syncope and was admitted for new-onset atrial fibrillation and new bilateral lung nodules. She reported intermittent chest tightness and 2 weeks of progressive exertional dyspnea. She also noted decreased appetite and severe night sweats.Over the preceding year, she developed profound bilateral [...]
Abstract Number: 350
A HIDDEN CAUSE OF ENCEPHALOPATHY: NUTRITIONAL DEFICIENCY FOLLOWING GASTRIC BYPASS
SHM Converge 2026
Case Presentation: A woman in her mid-30s with a past medical history of Roux-en-Y gastric bypass and hypothyroidism, presented with six months of progressive bilateral leg numbness and weakness, worsening confusion, abdominal pain, constipation, and intermittent rectal bleeding. She was febrile, tachycardic, and hypotensive with mild leukocytosis. CT of the abdomen showed stercoral colitis, and [...]
Abstract Number: 351
A COGNITIVE CONUNDRUM: UNMASKING A RAPIDLY PROGRESSIVE DEMENTIA
SHM Converge 2026
Case Presentation: A 75-year-old female with dementia, hypertension, hypothyroidism, and meningioma presented with altered mental status. The family reported declines in the patient’s memory, gait, and depth perception in addition to poor appetite, visual hallucinations, and vision changes. To them, her dementia has rapidly progressed and was far worse than baseline. On admission, the patient [...]
Abstract Number: 352
WHEN MUSCLES SPEAK: NECROTIZING MYOPATHY AS THE FIRST SIGN OF LUNG CANCER
SHM Converge 2026
Case Presentation: A 61-year-old male with a history of tobacco use was admitted for two months of progressive muscle weakness. He denied constitutional, respiratory, or dermatologic symptoms. Exam confirmed symmetric proximal muscle weakness by Oxford strength grading. Labs revealed an elevated alanine aminotransferase (ALT) at 318 U/L (reference range: 3-44 U/L) and aspartate aminotransferase (AST) [...]
Abstract Number: 353
DISSEMINATED BLASTOMYCOSIS PRESENTING WITH CENTRAL NERVOUS SYSTEM INVOLVEMENT
SHM Converge 2026
Case Presentation: A 58-year-old immunocompetent male with type 2 diabetes, hypertension, and dyslipidemia presented with four days of sharp right-sided headache associated with nausea, vomiting, and disequilibrium. He endorsed a chronic cough for several months but denied recent fevers, weight loss, or international travel. Examination revealed a wide-based waddling gait. CT head showed bilateral cerebellar [...]
Abstract Number: 354
A CASE OF ISCHEMIC COLITIS IN A 39 YEAR OLD MALE ON GLP-1 THERAPY
SHM Converge 2026
Case Presentation: A 39-year-old male with obesity on tirzepatide presented with sudden-onset severe abdominal pain and multiple episodes of hematochezia. In the emergency department, he was afebrile with normal heart rate and oxygenation, and blood pressure of 165/78 mmHg. Labs revealed mild leukocytosis of 11.4 K/µL, CRP 20.2 mg/L, normal hemoglobin, lactate, and metabolic panel. [...]
Abstract Number: 355
A RARE CASE OF RELAPSED ACUTE PROMYELOCYTIC LEUKEMIA 25 YEARS AFTER COMPLETE REMISSION
SHM Converge 2026
Case Presentation: In 2000, a 32-year-old female without significant medical history was diagnosed with Acute promyelocytic leukemia (APL) after evaluation for fatigue, easy bruising, and menorrhagia. Labs revealed pancytopenia, bone marrow biopsy demonstrated extensive infiltration by promyelocytes with Auer rods, and Fluorescence in Situ Hybridization (FISH) confirmed t(15;17). She achieved hematologic remission after All-Trans Retinoic [...]
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