Subject(s)
Epstein-Barr Virus Infections , Fever , Pharyngitis , Adult , Female , Humans , ThrombocytopeniaABSTRACT
Usually identification of the causative bacteria for an episode of sepsis is achieved using microbiological culture of blood or body fluid. In the case of pleural effusion and fever, a microscopic examination of the pleural effusion smear to identify the bacteria responsible should be performed immediately to optimize the selection of antibiotic therapy regimen.
Subject(s)
Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Head and Neck Neoplasms/drug therapy , Head and Neck Neoplasms/pathology , Lymphoma, Follicular/drug therapy , Lymphoma, Follicular/pathology , Skin Neoplasms/drug therapy , Skin Neoplasms/pathology , Aged, 80 and over , Antibodies, Monoclonal, Murine-Derived/administration & dosage , Bendamustine Hydrochloride , Humans , Male , Nitrogen Mustard Compounds/administration & dosage , Prednisone/administration & dosage , Remission Induction , RituximabSubject(s)
Bacteremia/diagnosis , Escherichia coli Infections/diagnosis , Escherichia coli , Multiple Organ Failure/diagnosis , Pleural Effusion/diagnostic imaging , Aged , Bacteremia/microbiology , Escherichia coli Infections/microbiology , Fatal Outcome , Humans , Male , Multiple Organ Failure/microbiology , Pleural Effusion/microbiology , RadiographySubject(s)
Leukocytosis/etiology , Lymphoma, B-Cell, Marginal Zone/diagnosis , Splenic Neoplasms/diagnosis , Diagnosis, Differential , Female , Humans , Leukemia, Hairy Cell/diagnosis , Lymphoma, B-Cell, Marginal Zone/complications , Middle Aged , Splenic Neoplasms/complications , Splenomegaly/etiologySubject(s)
Multiple Myeloma/complications , Multiple Myeloma/diagnosis , Sepsis/microbiology , Streptococcus pneumoniae/pathogenicity , Eosine Yellowish-(YS)/metabolism , Fatal Outcome , Female , Humans , Methylene Blue/metabolism , Middle Aged , Multiple Organ Failure/pathology , Pneumococcal Infections/microbiology , Sepsis/pathology , Streptococcus pneumoniae/metabolismABSTRACT
BACKGROUND: The multiple myeloma has the highest incidence among tumors of the bone and the bone marrow. Due to its rather mild and uncharacteristic clinical onset, first diagnosis of multiple myeloma is often delayed. CASE REPORT: The case of a 60-year-old female patient is reported who had been admitted to the authors' hospital in a state of severe septicemia. The patient's medical history had been unremarkable, apart from osteoporotic complaints. Smears of both peripheral blood as well as bone marrow samples showed a massive streptococcal infestation as demonstrated by light microscopy. In addition, plasma cells were the dominant cell type in these samples allowing the diagnosis of a yet unknown full-blown multiple myeloma. CONCLUSION: The case suggests that in the event of indistinct bone ache, a routine serum electrophoresis is advisable to minimize the risk of missing an underlying multiple myeloma.
