Case of multiple myeloma mimicking an infectious disease with fever, intrahepatic cholestasis, renal failure, and pulmonary insufficiency

We describe a case of multiple myeloma (MM) presenting with high fever, inflammatory chemistry abnormalities, simultaneous acute renal failure, cholestatic hepatitis, and acute lung failure. The extremely aggressive course and pulmonary involvement in the form of pulmonary alveolar proteinosis (PAP)...

Full description

Saved in:
Bibliographic Details
Published in:American journal of hematology 2003-01, Vol.72 (1), p.38-42
Main Authors: Vella, Francesco S., Simone, Barbara, Giannelli, Gianluigi, Pesolo, MariaTeresa, Ingravallo, Giuseppe, Gentile, Antonia, Antonaci, Salvatore
Format: Article
Language:English
Subjects:
Acute Kidney Injury - etiology
acute terminal phase
acute‐phase reaction
Alanine Transaminase - blood
Alkaline Phosphatase - blood
Anemia, Hypochromic - etiology
Aspartate Aminotransferases - blood
Biological and medical sciences
C-Reactive Protein - analysis
Cholestasis, Intrahepatic - etiology
Diagnosis, Differential
Fatal Outcome
Fever - etiology
Humans
Immunodeficiencies. Immunoglobulinopathies
Immunoglobulinopathies
Immunopathology
Infection - diagnosis
intrahepatic cholestasis
L-Lactate Dehydrogenase - blood
Male
Medical sciences
Middle Aged
multiple myeloma
Multiple Myeloma - blood
Multiple Myeloma - complications
Multiple Myeloma - diagnosis
pulmonary alveolar proteinosis (PAP)
Pulmonary Alveolar Proteinosis - etiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We describe a case of multiple myeloma (MM) presenting with high fever, inflammatory chemistry abnormalities, simultaneous acute renal failure, cholestatic hepatitis, and acute lung failure. The extremely aggressive course and pulmonary involvement in the form of pulmonary alveolar proteinosis (PAP) are discussed, stressing the unusual nature of the findings and the variable picture of MM. Am. J. Hematol. 72:38–42, 2003. © 2002 Wiley‐Liss, Inc.
ISSN:0361-8609
1096-8652
DOI:10.1002/ajh.10257