Infection--an underappreciated cause of bone pain in multiple myeloma.
Publication/Presentation Date
3-1-2003
Abstract
Bone pain, especially back pain, is a common presenting feature of myeloma patients. We report three multiple myeloma patients with exacerbations of back pain and referred shoulder pain resulting from vertebral infections. Two patients were treated with surgery, and one patient had computerized tomography-guided percutaneous needle aspiration for diagnostic purposes. All three patients received a prolonged course of antibiotics. Vertebral infection resolved with this treatment in all three patients without any recurrence. Previous dexamethasone therapy, together with an episode of bacteraemia, appears to be a predisposing factor for vertebral infection. Magnetic resonance imaging enabled the diagnosis in all three patients.
Volume
120
Issue
6
First Page
1047
Last Page
1050
ISSN
0007-1048
Published In/Presented At
Desikan, R., Barlogie, B., Sethi, R., Toor, A., Spoon, D., Angtuaco, E., Vanhemert, R., VijayaGopal, A., Singhal, S., Mehta, J., Jagannath, S., Munshi, N., Zangari, M., Fassas, A., Tricot, G., & Anaissie, E. (2003). Infection--an underappreciated cause of bone pain in multiple myeloma. British journal of haematology, 120(6), 1047–1050. https://doi.org/10.1046/j.1365-2141.2003.04178.x
Disciplines
Medicine and Health Sciences
PubMedID
12648075
Department(s)
Department of Medicine, Hematology-Medical Oncology Division
Document Type
Article