González Guido Ricardo, Navarro Ana María, Zambrano Angela Regina, Arrunátegui Ana María
Departamento de Medicina Interna, Fundación Valle del Lili, Universidad CES, Cali, Colombia.
Biomedica. 2010 Oct-Dec;30(4):478-81.
A 45 year old male presented with IgA multiple myeloma s/p (status post) autologous hematopoietic stem cell transplantation; and with a history of six weeks of fever and constitutional symptoms. Liver tests showed an infiltrative pattern, with ultrasound evidence of multiple nodular lesions. A laparoscopic biopsy identified circumscribed myeloma foci. This is the first reported case of myeloma nodular liver lesions causing a fever of unknown origin.
一名45岁男性，因IgA多发性骨髓瘤接受自体造血干细胞移植后出现症状；并有六周发热及全身症状病史。肝功能检查显示为浸润性模式，超声检查发现多个结节性病变。腹腔镜活检确定为局限性骨髓瘤病灶。这是首例关于骨髓瘤结节性肝脏病变导致不明原因发热的报道病例。
