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Abstract Number: 422

LESS IS MORE: AVOIDING DIAGNOSTIC OVERREACH IN A CASE OF AMOEBIC LIVER ABSCESS WITH HEPATIC VEIN THROMBOSIS

SHM Converge 2026

Case Presentation: A 32-year-old female patient without significant past medical history presented with one week of fevers to 102°F, right upper quadrant (RUQ) pain, and non-bloody diarrhea. She denied consuming unusual foods or traveling immediately before the onset of symptoms. However, she had traveled to Mexico, Denmark, South Korea, Guatemala, and Tanzania in the previous [...]

Abstract Number: 423

PROGRESSIVE ENCEPHALOPATHY: A CASE OF THE RARE AND DIFFICULT TO DIAGNOSE CANDIDA MENINGITIS

SHM Converge 2026

Case Presentation: Patient is a 41-year-old male with past medical history of alcohol use disorder, traumatic brain injury, and schizoaffective disorder who presented with progressive confusion and agitation. Patient experienced traumatic brain injury five months prior to admission when imaging showing communicating hydrocephalus of unclear etiology. One month later, he presented to the ED with [...]

Abstract Number: 424

THE DEADLY DOUBLE JEOPARDY: THROMBOTIC MICROANGIOPATHY AND BONE MARROW METASTASIS IN MUCINOUS LUNG ADENOCARCINOMA

SHM Converge 2026

Case Presentation: A 50-year-old female with a history of stage IV metastatic lung adenocarcinoma who was initially treated with pembrolizumab, pemetrexed, carboplatin, and radiation for bony pain presented with weakness and shortness of breath and was found to have hemorrhagic shock requiring multiple blood and platelet transfusions. During hospitalization thrombocytopenia was refractory to high dose [...]

Abstract Number: 425

A HIGH STAKES RASH: SUBCORNEAL PUSTULAR DERMATOSIS MIMICKING DRESS SYNDROME IN A PATIENT WITH METASTATIC BREAST CANCER

SHM Converge 2026

Case Presentation: Subcorneal pustular dermatosis (SPD), also known as Sneddon-Wilkinson disease, is a rare, relapsing remitting neutrophilic dermatosis characterized by flaccid pustules located under the stratum corneum. This condition most commonly affects middle-aged to elderly women, and has been associated with systemic diseases such as monoclonal IgA gammopathy and multiple myeloma. We present a patient [...]

Abstract Number: 426

HIDING IN PLAIN SIGHT: AN UNCOMMON CAUSE OF DYSPNEA IN A HEALTHY YOUNG WOMAN

SHM Converge 2026

Case Presentation: We present the case of a 43-year-old female with no prior medical history who presented for progressive dyspnea and fatigue following several weeks of heavy vaginal bleeding. She was found to have bicytopenia with hemoglobin of 6.4 and platelet count of 58,000. Labs were notable for hemolysis with schistocytes on peripheral blood smear, [...]

Abstract Number: 427

BEYOND THE WARDROBE: UNCOVERING THE RISKS OF MOTHBALL INGESTION

SHM Converge 2026

Case Presentation: An 88-year-old male with a history of dementia, chronic kidney disease, and hypertension presented with three days of nausea, vomiting, diarrhea, and altered mental status. On arrival to the emergency department, his peripheral oxygen saturation (SpO2) was 60% despite 100% oxygen supplementation. An arterial blood gas (ABG) on 100% FiO2 showed a partial [...]

Abstract Number: 428

CORT IS IN SESSION: UNRAVELING AN ENDOCRINE MYSTERY OF PRESSURE, PROTEIN, AND POTASSIUM

SHM Converge 2026

Case Presentation: A 55-year-old woman with hypertension and diabetes presented with hypertensive emergency, chest pain, severe hyperglycemia (glucose >600 mg/dL), hypokalemia (serum potassium 2.6 mmol/L), Cushingoid features, anasarca, and proteinuria (urine protein to creatinine ratio 4.3). Imaging demonstrated a heterogenous 4 cm left adrenal mass, as well as adenopathy above and below the diaphragm. Biochemical [...]

Abstract Number: 429

MY ANC(A)Y BREAKY HEART: A CASE OF AUTOIMMUNE HEARTACHE

SHM Converge 2026

Case Presentation: A 24-year-old woman with recently diagnosed granulomatosis with polyangiitis (GPA), presented with worsening ocular pain and redness. Initial findings had included a 7.5 cm cavitary lung lesion, multiple pulmonary nodules, and leg lesions consistent with pyoderma gangrenosum (PG). She was c-ANCA positive, and bronchoscopy supported GPA. She was discharged on a steroid taper. [...]

Abstract Number: 431

OVARIAN IMPOSTER: DIAGNOSIS OF A RARE MALIGNANT PERITONEAL MESOTHELIOMA IN A FEMALE PATIENT

SHM Converge 2026

Case Presentation: A 59-year-old female with a past medical history of hypertension, alcohol use disorder, and type 2 diabetes mellitus presented to the emergency department for one month of progressive abdominal distention, weight gain, dyspnea on exertion, early satiety, and increased reflux. She endorsed significant alcohol use with 1.5 gallons of liquor intake per week [...]

Abstract Number: 432

BETWEEN A ROCK AND A CLOT PLACE: ACUTE MESENTERIC ISCHEMIA AFTER ANTI-PLATELET AGENT HELD FOR ERCP

SHM Converge 2026

Case Presentation: A 58-year-old man with a history of chronic mesenteric ischemia status post superior mesenteric artery (SMA) stent on aspirin/ticagrelor, heterozygous factor V Leiden, and atrial fibrillation on apixaban, presented for right upper quadrant abdominal pain. One month prior, he was hospitalized for a perforated stomach ulcer, complicated by bowel ischemia status post small [...]

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