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以高热为突出表现的复发性多发性骨髓瘤1例

孟婵 吕玮

基础医学与临床2013,Vol.33Issue(1):111-114,4.
基础医学与临床2013,Vol.33Issue(1):111-114,4.

以高热为突出表现的复发性多发性骨髓瘤1例

High fever as the presenting symptom of collapsed multiple myeloma:a case report

孟婵 1吕玮2

作者信息

  • 1. 中国医学科学院北京协和医学院北京协和医院内科普通内科,北京100730
  • 2. 中国医学科学院北京协和医学院北京协和医院内科感染内科,北京100730
  • 折叠

摘要

Abstract

Objective Improve understanding and management of infection-free fever in multiple myeloma patients. Methods Study the differentiation and treatment of a collapsed multiple myeloma case predominantly presented as a high fever, and review the correlative literatures. Results A 56 year-old male with multiple myeloma for 5 years got a high fever when his disease collapsed and widely extra-medullary infiltrated. Examinations for pathogens were negative and antibiotics treatment had no effect. Though the temperature became normal after chemotherapy, the patient died of complication. Conclusions For myeloma patients, non-infectious fever may be either the admission reason or the presentation as the disease deteriorates. If there is no evidence for infection, chemotherapy should be administrated early.

关键词

多发性骨髓瘤/不明原因发热

Key words

multiple myeloma/ fever of unknown origin

分类

医药卫生

引用本文复制引用

孟婵,吕玮..以高热为突出表现的复发性多发性骨髓瘤1例[J].基础医学与临床,2013,33(1):111-114,4.

基础医学与临床

OA北大核心CSCDCSTPCD

1001-6325

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