Basic & Clinical Medicine ›› 2013, Vol. 33 ›› Issue (1): 111-114.

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

Chan MengWei LV2   

  • Received:2012-03-12 Revised:2012-06-30 Online:2013-01-05 Published:2012-12-25
  • Contact: Chan Meng E-mail:bleuprion@yahoo.com.cn

Abstract: Objective:Improve understanding and management of non-infectious 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 diagnosed 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. Conclusion: 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.

Key words: multiple myeloma, fever of unknown origin

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