Distinguished Abstract
Meeting
Search Results
Abstract Number: 445
SHM Converge 2026
Case Presentation: A 61-year-old woman with no significant medical history presented with two months of progressive mucositis. A few days after routine dental radiographs two months prior, she developed severe odynophagia with extensive oral ulcerations. She was unable to tolerate oral intake and reported 17 lbs weight loss. Per report, she had tested positive for [...]
Abstract Number: 446
SHM Converge 2026
Case Presentation: Syphilis, caused by Treponema pallidum, remains a significant public health concern, with over 200,000 cases reported in the United States in 2023 (62.5 cases per 100,000 population)1. If not treated, the disease progresses through four stages—primary, secondary, latent, and late syphilis. A rare and aggressive form of secondary syphilis, malignant syphilis, is most [...]
Abstract Number: 447
SHM Converge 2026
Case Presentation: A 38-year-old man with a 17-year history of well-controlled ulcerative colitis (UC) and rheumatoid arthritis presented with more than ten episodes of hematochezia, severe abdominal cramping, and several weeks of progressive left lower extremity swelling, erythema, and purulent drainage. On admission, he was febrile and tachycardic. Examination showed left lower extremity edema with [...]
Abstract Number: 448
SHM Converge 2026
Case Presentation: A 68-year-old man with type 2 diabetes, coronary artery disease, and a liver transplant three months prior for MASLD-related cirrhosis presented with three days of weakness, fatigue, chills, and fevers. Post-transplant medications included tacrolimus, mycophenolate, prednisone, and prophylactic acyclovir. He denied headache, neck stiffness, respiratory or gastrointestinal symptoms, rash, vision changes, recent travel, [...]
Abstract Number: 449
SHM Converge 2026
Case Presentation: A 65-year-old woman with a history of deceased-donor kidney transplant 14 years prior (ESRD from hypertension), diabetes mellitus, and hypertension presented with one month of persistent watery diarrhea and abdominal cramping. She had been diagnosed with norovirus one month earlier and managed conservatively but continued to have multiple watery stools daily despite anti-diarrheals. [...]
Abstract Number: 450
SHM Converge 2026
Case Presentation: An 83-year-old woman with HFpEF, atrial fibrillation on warfarin, chronic lymphocytic leukemia, hypertension, hypothyroidism, and a history of light chain deposition disease (LCDD) presented with 10 days of worsening dyspnea on exertion, orthopnea, and leg edema. Blood pressure on arrival was 219/107 mmHg. Exam showed mild respiratory distress, bibasilar crackles, and pitting edema [...]
Abstract Number: 451
SHM Converge 2026
Case Presentation: An 80-year-old man with suspected latent tuberculosis, smoldering myeloma, and prior pulmonary embolism presented with four days of productive cough with blood-streaked sputum and two weeks of dyspnea on exertion. On arrival, he was afebrile, tachycardic up to 120 bpm, normotensive at 135/80 mmHg, and oxygenating at 95% on room air. Examination revealed [...]
Abstract Number: 452
SHM Converge 2026
Case Presentation: A 39-year-old woman with obesity, PTSD, anxiety presented to the ED following a high-speed motor vehicle accident. Comprehensive trauma CT imaging showed no acute traumatic injury; however, CT chest revealed multiple large bullae confined to the right lung, predominantly within the lower lobe, initially raising concern for placental transmogrification (Fig. 1). She was [...]
Abstract Number: 453
SHM Converge 2026
Case Presentation: A 59-year-old unhoused man presented with three days of progressive left arm pain and swelling after a spider bite sustained while sleeping outdoors. He reported two puncture marks followed by severe 9/10 pain and rapidly worsening edema. His history included type II diabetes, hepatitis C cirrhosis, autoimmune skin disease, and polysubstance use disorder. [...]
Abstract Number: 454
SHM Converge 2026
Case Presentation: A 53-year-old unhoused, transgender woman with intermittently treated advanced HIV (CD4 157 cells/µL), chronic HBV, depression, polysubstance use disorder, and recent initiation of gender-affirming estrogen presented to the ED with chest pain and suicidal ideation. CT angiography revealed bilateral pulmonary emboli (PE) with right-heart strain for which she was treated with heparin and [...]
