Session Type
Meeting
Search Results for Encephalopathy
Abstract Number: 434
SHM Converge 2023
Case Presentation: A 67 year-old woman presented with six weeks of worsening disorientation. Her husband reported severe insomnia, abnormal behaviors, decreased short-term memory, and very labile mood. She had a history of well-controlled bipolar disorder on chronic lithium therapy. She had a forty pack-year smoking history. She was diagnosed with a urinary tract infection and […]
Abstract Number: 583
SHM Converge 2023
Case Presentation: A 59-year-old previously healthy female presented to the emergency department with progressive cognitive decline, psychomotor retardation, and both auditory and visual hallucinations of subacute onset for which she was previously admitted to inpatient care at two separate hospitals. Extensive testing during these admissions were negative for: infection, metabolic derangement, hematologic malignancy, toxins, heavy […]
Abstract Number: 656
SHM Converge 2023
Case Presentation: A 68 year old man with PMH of cerebral palsy, cognitive impairment, and chronic pain with intrathecal baclofen pump initially presented with sepsis due to baclofen pump pocket infection, and underwent explantation of baclofen pump. Intraoperative cultures grew pseudomonas, so on POD 3 cefepime was initiated. On POD 4, he developed encephalopathy, becoming […]
Abstract Number: 726
SHM Converge 2023
Case Presentation: The patient is a 58-year-old female who was initially treated at an outside facility for severe COVID-19 infection that presented as a nonverbal encephalopathy. During this, she developed seizures and required intubation for airway protection. Labs were notable for hemoglobin: 7.7g/dL, calcium: 8.1 mg/dL, and arterial ammonia: 107 mcg/dL. Encephalopathy at that time […]
Abstract Number: 764
SHM Converge 2023
Case Presentation: A 62-year-old malnourished, Hispanic man presented with fever and malaise for 1 week associated with headache. Past medical history was significant for rheumatoid arthritis treated with prolonged, unmonitored prednisone, chronic obstructive pulmonary disease, and a history of 18 cats at home. On examination, the patient was alert and oriented, febrile, and cachectic, but […]
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 […]
Abstract Number: 890
SHM Converge 2023
Case Presentation: Although infrequent, systemic loxoscelism can occur following a brown recluse spider bite and result in dermal necrosis, hemolytic anemia, DIC and renal failure. We present a case of an eight year old male who developed Hemophagocytic Lympho-Histiocytosis (HLH) secondary to systemic loxoscelism. The patient presented with gross hematuria, abdominal pain, and fever. The […]