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Abstract Number: 830
SHM Converge 2023
Case Presentation: Rheumatoid myositis is often underdiagnosed due to its variable laboratory, MRI, and biopsy findings and often misdiagnosed as idiopathic polymyositis.50-year-old female with seronegative RA and vocal cord dysfunction after COVID-19 infection presented with worsening proximal muscle weakness, dysphagia, and arthritis. A few years back she had multiple episodes of bilateral MCP swelling and […]
Abstract Number: 831
SHM Converge 2023
Case Presentation: A 63-year-old man with well-controlled human immunodeficiency virus infection, diabetes and peripheral artery disease presented with one day of hypoxemia and altered mental status (AMS). He was recently admitted for a right femoral-posterior tibial artery bypass angioplasty with excisional debridement of his foot. His course was complicated by an acute kidney injury (AKI), […]
Abstract Number: 832
SHM Converge 2023
Case Presentation: A 56-year-old man with elephantiasis nostras verrucosa (ENV) was admitted to the hospital for fevers due to sepsis from lower extremity cellulitis. On exam, he was febrile to 102.1°F with HR 98 and BP 103/65. Cardiopulmonary exam was unremarkable. Malodorous indurated 2cm-thick brown plaques, embedded with gray and yellow debris, covered his feet […]
Abstract Number: 833
SHM Converge 2023
Case Presentation: A 59-year-old Caucasian male eight months post liver transplant on Tacrolimus and Prednisone and one month post COVID-19 infection presented to our hospital with progressive weakness. Ten days prior to presentation he noted paresthesias of bilateral upper and lower extremities. This progressed to distal 4/5 weakness in all extremities, dysphagia, dysarthria, severe lower […]
Abstract Number: 834
SHM Converge 2023
Case Presentation: A 27-year-old female without any significant medical history, who developed acute kidney injury, metabolic acidosis, increasing liver enzymes, coagulopathy, anemia, thrombocytopenia and undifferentiated shock requiring pressors on 6th post-partum delivery. Peripheral smear showed atypical lymphocytes, dohle bodies and neutrophils with toxic vacuolization, suggesting an inflammatory processOther labs were significant for elevated ferritin levels […]
Abstract Number: 835
SHM Converge 2023
Case Presentation: Introduction:Thromboangiitis obliterans, also known as Buerger disease, is a cannabis and tobacco-induced non-atherosclerotic inflammatory disease typically involving both small and medium sized vessels of the extremities. The disease can lead to multiple manifestations including superficial thrombophlebitis, cold sensitivity/ Raynaud phenomenon, digital ischemia, organ ischemia and arthralgias. Case description:A 35-year old cannabis using male, […]
Abstract Number: 836
SHM Converge 2023
Case Presentation: A 71-year-old woman with a history of cecal perforation status post end ileostomy and subtotal colectomy in 2017 presented with intractable pain in the setting of a worsening erythematous intertriginous rash of the abdomen and labia. She reported using topical anti-fungal therapy without improvement of symptoms.Upon presentation, her vital signs were normal and […]
Abstract Number: 837
SHM Converge 2023
Case Presentation: A 69-year-old male with a past medical history of urothelial carcinoma status post left nephrectomy began immunotherapy and was started on Atezolizumab. He developed bilateral lower extremity weakness that began following his first dose. After 3 doses, in 02/2022, his lower extremity weakness worsened to the point where he could not walk. A […]
Abstract Number: 838
SHM Converge 2023
Case Presentation: A 35-year old male with a PMH of homelessness and methamphetamine use presented to the ED in October 2022 for “flu-like symptoms” including chills, headache, congestion, abdominal pain and nausea/vomiting. He tested positive for influenza B and was admitted for symptomatic treatment and disposition planning. In reviewing his chart, it was apparent that […]
Abstract Number: 839
SHM Converge 2023
Case Presentation: A 64-year-old male with a history of spinal cord injury complicated by quadriplegia, neurogenic bladder and bowel presented with an obstructed suprapubic foley catheter, severe localized pain over the suprapubic area, and a blood pressure of 84/56 on arrival. The patient was administered intravenous fluids and started on 4.5g of piperacillin/tazobactam every 8 […]