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Abstract Number: 78

A DIAGNOSTIC CHALLENGE IN A RARE RAPIDLY ENLARGING NECK MASS: ISOLATED CERVICAL SEMINOMA WITHOUT TESTICULAR OR MEDIASTINAL PRIMARY

SHM Converge 2026

Case Presentation: A 34-year-old non-smoking man with no significant medical history presented with a one-month history of a rapidly enlarging, painful right neck mass. He denied voice changes, dysphagia, and constitutional or respiratory symptoms. Initial CT at an outside hospital showed multiple necrotic right level II cervical lymph nodes, the largest 1.2 × 1.9 × [...]

Abstract Number: 80

HEMOPTYSIS AND HUMAN IMMUNODEFICIENCY VIRUS: A FUNGAL SURPRISE

SHM Converge 2026

Case Presentation: A 57-year-old man with a history of coronary artery disease (status post coronary artery stenting), type 2 diabetes mellitus, hypertension, alcohol use disorder, and well controlled HIV on antiretroviral therapy (HIV viral load was undetectable; CD4 783 cells/mm³) presented with several days of mild hemoptysis. He remained afebrile, without shortness of breath or [...]

Abstract Number: 81

COVERAGE LOST, CONSEQUENCES FOUND: COMPLICATED ENDOCARDITIS FOLLOWING A LAPSE IN BIOLOGIC THERAPY

SHM Converge 2026

Case Presentation: 58-year-old male with history of psoriatic arthritis previously well controlled on adalimumab, presenting with 4 days of weakness, fever, joint pain, and inability to walk. After an insurance-mandated switch from adalimumab to a biosimilar, followed by an allergic reaction and a subsequent failure to authorize an alternative agent, he experienced a two-month lapse [...]

Abstract Number: 82

FLOOD SYNDROME: A RARE COMPLICATION OF DECOMPENSATED CIRRHOSIS

SHM Converge 2026

Case Presentation: A 68-year-old with a history of End Stage Liver Disease (ESLD) presented with 3 weeks of worsening abdominal distention after stopping her home diuretics. In the ED, vital signs were stable. Labs were notable for bilirubin of 3.6 with direct bilirubin of 1.3, albumin of 2.2, and platelets of 74. The patient was [...]

Abstract Number: 83

A DIAGNOSTIC CHALLENGE: CRYPTOGENIC ORGANIZING PNEUMONIA IN A YOUNG MAN WITH MULTIPLE SCLEROSIS

SHM Converge 2026

Case Presentation: A 39-year-old man with relapsing remitting multiple sclerosis on ocrelizumab, last given 3 months prior to presentation, was hospitalized for one month of intermittent fevers and dry cough. He denied alcohol use but vaped both tobacco and marijuana several times daily. He had no recent travel or sick contacts. He was hospitalized recently [...]

Abstract Number: 85

A NOSE FOR NUANCES: RHINOLALIA APERTA IN MILLER FISHER SYNDROME

SHM Converge 2026

Case Presentation: A man in his 30s with essential thrombocythemia (ET; JAK2-negative) presented with one week of blurry vision, gait disturbance, and paresthesias following a viral upper respiratory tract infection. His symptoms began with retro-orbital pressure and diplopia with eye movement, progressing to paresthesias in his fingers and toes, and subjective hand weakness. By the [...]

Abstract Number: 86

THE LENTA BUG AND ITS BIG BITE: AN EGGERTHELLA BACTEREMIA CASE REPORT

SHM Converge 2026

Case Presentation: A 69 year old female, with a history of diverticulitis, recurrent urinary tract infections (UTI), presented to the emergency department (ED) for evaluation of rigors, chills, and myalgias, of one day duration. The patient denied any recent travels, and reported multiple sick contacts, including her mother who contracted COVID, and a cousin who [...]

Abstract Number: 87

A RARE PRESENTATION OF C3 GLOMERULOPATHY: DIAGNOSTIC CHALLENGES AND THERAPEUTIC CONSIDERATIONS

SHM Converge 2026

Case Presentation: A 28-year-old male with hypertension, hyperlipidemia, obstructive sleep apnea, and obesity presented with epistaxis, initially attributed to poorly controlled blood pressure. Laboratory evaluation revealed acute kidney injury and nephrotic-range proteinuria. He reported progressive dyspnea, lower extremity edema, and intermittent hemoptysis beginning two months earlier following a viral respiratory infection. Given his clinical course, [...]

Abstract Number: 88

IRON OVERLOAD AND B12 DEFICIENCY MASKING AUTOIMMUNE POLYGLANDULAR SYNDROME TYPE 3B: A DIAGNOSTIC CHALLENGE

SHM Converge 2026

Case Presentation: A 58-year-old Hispanic male with type 2 diabetes on Metformin, chronic B12 deficiency with macrocytic anemia requiring recurrent transfusions, hypothyroidism, peripheral neuropathy, and chronic myositis presented with 1.5 months of worsening fatigue, dyspnea, dizziness, and generalized edema. He had poor outpatient follow-up and had not seen his primary care provider in years. He [...]

Abstract Number: 89

ACUTE PANCREATITIS: AN EYE-OPENING TWIST

SHM Converge 2026

Case Presentation: A 23-year-old man with a history of alcohol use disorder was admitted for alcohol-induced interstitial edematous pancreatitis. Initial laboratory testing revealed elevated lipase and lactic acidosis; CT scan showed steatohepatitis and acute pancreatitis without necrosis.Bilateral vision loss developed 24 hours after initial presentation, described as “blurred” and “darkened” vision. Visual acuity was reduced [...]

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