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2020-05-20T12:01:36-05:00
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Hospital Medicine 2019, March 24-27, National Harbor, Md.
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Search Results
Abstract Number: 399
LEG STIFFNESS AFTER OPEN REDUCTION INTERNAL FIXATION OF RIGHT HIP: NORMAL RECOVERY OR RARE AUTOIMMUNOLOGIC DISORDER?
SHM Converge 2026
Case Presentation: A 64-year-old woman with benign paroxysmal positional vertigo (BPPV), anxiety, muscle spasticity, and frequent falls presented to the emergency department with acute right hip pain. She normally ambulated with a walker due to bilateral stiffness and intermittent leg pain. Two years earlier, neurology noted increased tone, spasticity, and a wide-based, slow gait with [...]
Abstract Number: 400
A BENIGN IMITATOR: TONSILLAR ACTINOMYCOSIS MIMICKING MALIGNANCY
SHM Converge 2026
Case Presentation: Previously healthy woman in her early forties presented with persistent throat pain and a left tonsillar mass. Two months earlier, she had developed what seemed like a sore throat, but symptoms progressively worsened despite multiple antibiotic courses. The pain radiated to her left ear, was associated with jaw tightness, and trismus.She had been [...]
Abstract Number: 401
CLINICAL COST-SAVING CLUES: A CASE OF DIAGNOSING A RARE HYPOTHYROID MYOPATHY
SHM Converge 2026
Case Presentation: A 61 year old male presented to the emergency department after he was unable to get up from his home recliner. He has a past medical history of hypothyroidism, obesity, chronic kidney disease stage 3, hypertension, and renal cell carcinoma status post nephrectomy and adrenalectomy. Patient had been experiencing myalgia and weakness in [...]
Abstract Number: 403
RECURRENT PULMONARY EMBOLISM AND POST-THROMBECTOMY ARDS IN A MINIMALLY PROVOKED YOUNG PATIENT
SHM Converge 2026
Case Presentation: A 38-year-old woman with no significant past medical history, no current medications, and no history of smoking presented with worsening dyspnea one month after foot surgery, which had been marked by prolonged postoperative immobility. On arrival, CT pulmonary angiography revealed a large saddle pulmonary embolism (PE) with extensive bilateral lower lobe thrombi and [...]
Abstract Number: 404
A TRIO OF TROUBLE: A CASE OF PEMBROLIZUMAB-INDUCED TRIPLE M SYNDROME
SHM Converge 2026
Case Presentation: A 79 year old man with a history of hypothyroidism and stage IIIb melanoma on pembrolizumab presented with worsening bulbar symptoms following the second dose of pembrolizumab. He had noticed mild left ptosis after the initial dose a month earlier. Physical exam was notable for dyspnea, bilateral complete ophthalmoplegia, and weakness in the [...]
Abstract Number: 405
THE HIDDEN COST OF CHOLESTEROL CONTROL: A CASE OF STATIN INDUCED-NECROTIZING AUTOIMMUNE MYOPATHY
SHM Converge 2026
Case Presentation: We describe a 51-year-old male treated for statin-induced necrotizing autoimmune myopathy (SINAM). The patient presented to the emergency department (ED) with over a month of progressive proximal muscle weakness and dysphagia resulting in limited mobility, despite statin cessation from a recent hospitalization at outside hospital where was found to have rhabdomyolysis and elevated [...]
Abstract Number: 406
TWO RARE AND INOPPORTUNE INFECTIONS: A CASE REPORT OF COINFECTION WITH NOCARDOSIS AND APERGILLOSIS IN A RENAL TRANSPLANT PATIENT
SHM Converge 2026
Case Presentation: We describe a 56-year-old farmworker man with a history of renal transplant 5 months prior, T2DM, and HTN, with coinfection of 3 Nocardia species and Aspergillus niger. The patient presented with 3 weeks of unresolving cough, right sided pleuritic chest pain, night sweats, and fatigue despite treatment for community acquired pneumonia (with ceftriaxone [...]
Abstract Number: 408
WHEN BROAD BETA-LACTAMS ARE NOT THE ANSWER: RENAL ABSCESSES DUE TO UREAPLASMA UREALYTICUM IN A B-CELL DEPLETED WOMAN WITH SYSTEMIC LUPUS ERYTHEMATOSUS
SHM Converge 2026
Case Presentation: Ureaplasma species are cell wall–deficient commensals of the urogenital tract, most commonly U. urealyticum and U. parvum (1). Their lack of a cell wall confers intrinsic resistance to β-lactam and glycopeptide antibiotics; effective classes include fluoroquinolones, tetracyclines, macrolides, and chloramphenicol (1). Although colonization occurs in up to 40–80 % of sexually active women [...]
Abstract Number: 409
BEYOND THE POSITIVE STI: UNMASKING MPOX IN A CASE OF GONORRHEA COINFECTION
SHM Converge 2026
Case Presentation: A 40-year-old man with well-controlled HIV (CD4+ 590 cells/µL, undetectable viral load on Biktarvy) presented with four days of penile swelling, purulent discharge, and diffuse papular, pus-filled, lesions. He also reported fever, chills, dysuria, fatigue, and pain at lesion sites. Prior to arrival, he had self-administered intramuscular ceftriaxone and oral acyclovir obtained in [...]
Abstract Number: 410
MAC OR AUTOIMMUNE ATTACK?
SHM Converge 2026
Case Presentation: A 66-year-old woman with systemic lupus erythematosus and MDA5-positive dermatomyositis on hydroxychloroquine and chronic corticosteroids presented with several weeks of progressive arthralgias, joint swelling, and fatigue. She had recently been hospitalized for abnormal uterine bleeding, during which pelvic imaging revealed multiloculated gluteal and peritrochanteric fluid collections of unclear etiology. A hysteroscopy with drainage [...]
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