Pneumococcal native aortic valve endocarditis with mycotic abdominal aortic aneurysm, paraspinal and iliopsoas abscesses and pneumonia revealing a multiple myeloma Free

Abstract

We report a rare case of multiple myeloma presenting with native aortic valve endocarditis with secondary embolic mycotic abdominal aortic aneurysm, contiguous paraspinal and iliopsoas abscesses, and pneumonia due to in a Chinese man. He was treated with aortic valve replacement, endovascular stenting of aneurysm, image-guided drainage of abscesses, and a 6-week course of endocarditic antibiotic therapy followed by chronic suppressive antibiotic therapy. Cases of multiple myeloma presenting with invasive pneumococcal infection were reviewed.

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2011-06-01
2024-03-28
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References

  1. Aue G., Austein T. 2007; Streptococcus pneumoniae sepsis in concurrently diagnosed multiple myeloma. Am J Hematol 82:858 [View Article][PubMed]
    [Google Scholar]
  2. Barasch E., Berger S. A., Golan E., Siegman-Igra Y. 1986; Pneumococcaemia as a presenting sign in 3 cases of multiple myeloma. Scand J Haematol 36:229–231 [View Article][PubMed]
    [Google Scholar]
  3. Bigaillon C., Pelletier C., Abdoulaye I., Villevieille T., Ceppa F., Burnat P. 2007; Pneumococcal meningitidis: a fatal complication of myeloma. Ann Hematol 86:381–383 [View Article][PubMed]
    [Google Scholar]
  4. Costa D. B., Shin B., Cooper D. L. 2004; Pneumococcemia as the presenting feature of multiple myeloma. Am J Hematol 77:277–281 [View Article][PubMed]
    [Google Scholar]
  5. Cuesta M., Bernad M., Espinosa A., Herranz P., Martin Mola E., Gijón Baños J. 1992; Pneumococcal septic arthritis as the first manifestation of multiple myeloma. Clin Exp Rheumatol 10:483–484[PubMed]
    [Google Scholar]
  6. Doughney K. B., Williams D. M., Penn R. L. 1988; Multiple myeloma: infectious complications. South Med J 81:855–858 [View Article][PubMed]
    [Google Scholar]
  7. Durupt S., Durieu I., Nove-Josserand R., Dumontet C., Tognet E., Vital Durand D. 2000; [Pneumococcal cellulitis revealing a myeloma]. Rev Med Interne 21:464–465 (in French) [View Article][PubMed]
    [Google Scholar]
  8. Kalambokis G. N., Christou L., Tsianos E. V. 2009; Multiple myeloma presenting with an acute bacterial infection. Int J Lab Hematol 31:375–383 [View Article][PubMed]
    [Google Scholar]
  9. Lefort A., Mainardi J. L., Selton-Suty C., Casassus P., Guillevin L., Lortholary O.The Pneumococcal Endocarditis Study Group 2000; Streptococcus pneumoniae endocarditis in adults. A multicenter study in France in the era of penicillin resistance (1991–1998).. Medicine (Baltimore) 79:327–337 [View Article][PubMed]
    [Google Scholar]
  10. Lindberg J., Schønheyder H. C., Møller J. K., Prag J. 2005; Incidence of pneumococcal endocarditis: a regional health register-based study in Denmark 1981–1996. Scand J Infect Dis 37:417–421 [View Article][PubMed]
    [Google Scholar]
  11. Nucci M., Anaissie E. 2009; Infections in patients with multiple myeloma in the era of high-dose therapy and novel agents. Clin Infect Dis 49:1211–1225 [View Article][PubMed]
    [Google Scholar]
  12. Posner M. R., Berk S. L., Rice P. A. 1978; Pneumococcal bacteremia diagnosed by peripheral blood smear in multiple myeloma. Arch Intern Med 138:1720–1721 [View Article][PubMed]
    [Google Scholar]
  13. Raanani P., Gafter-Gvili A., Paul M., Ben-Bassat I., Leibovici L., Shpilberg O. 2009; Immunoglobulin prophylaxis in chronic lymphocytic leukemia and multiple myeloma: systematic review and meta-analysis. Leuk Lymphoma 50:764–772 [View Article][PubMed]
    [Google Scholar]
  14. Renou F., Gerber A., Moiton M. P., Ferrandiz D., Yvin J. L. 2007; [Pneumococcal septic arthritis revealing a multiple myeloma.]. Rev Med Interne 28:186–187 (in French) [View Article][PubMed]
    [Google Scholar]
  15. Robertson J. D., Nagesh K., Jowitt S. N., Dougal M., Anderson H., Mutton K., Zambon M., Scarffe J. H. 2000; Immunogenicity of vaccination against influenza, Streptococcus pneumoniae and Haemophilus influenzae type B in patients with multiple myeloma. Br J Cancer 82:1261–1265 [View Article][PubMed]
    [Google Scholar]
  16. Rojas A., Mertens R., Arbulo D., Garcia P., Labarca J. 2010; Multiple mycotic aneurysms due to penicillin nonsusceptible Streptococcus pneumoniae solved with endovascular repair. Ann Vasc Surg 24:827.e5–827.e8 [View Article][PubMed]
    [Google Scholar]
  17. Sumrall A., Muzny C., Bell J., Dreiling B. 2008; Pneumococcal septic arthritis as the initial presentation of multiple myeloma. Int J Lab Hematol 30:82–83[PubMed]
    [Google Scholar]
  18. Taylor S. N., Sanders C. V. 1999; Unusual manifestations of invasive pneumococcal infection. Am J Med 107:Suppl. 112–27 [View Article][PubMed]
    [Google Scholar]
  19. Ugolini V., Pacifico A., Smitherman T. C., Mackowiak P. A. 1986; Pneumococcal endocarditis update: analysis of 10 cases diagnosed between 1974 and 1984. Am Heart J 112:813–819 [View Article][PubMed]
    [Google Scholar]
  20. Wong A., Marrie T. J., Garg S., Kellner J. D., Tyrrell G. J.SPAT Group 2010; Increased risk of invasive pneumococcal disease in haematological and solid-organ malignancies. Epidemiol Infect 138:1804–1810 [View Article][PubMed]
    [Google Scholar]
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