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 Streptococcus pneumoniae 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.
MeSH terms
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Anti-Bacterial Agents / administration & dosage
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Aortic Aneurysm, Abdominal / complications
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Aortic Aneurysm, Abdominal / diagnosis*
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Aortic Aneurysm, Abdominal / pathology
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Aortic Aneurysm, Abdominal / therapy
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Aortic Valve / pathology
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Asian People
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Drainage
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Endocarditis, Bacterial / complications
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Endocarditis, Bacterial / diagnosis*
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Endocarditis, Bacterial / therapy
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Fungi / isolation & purification*
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Humans
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Male
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Middle Aged
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Multiple Myeloma / complications
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Multiple Myeloma / diagnosis*
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Multiple Myeloma / pathology
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Multiple Myeloma / therapy
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Pneumococcal Infections / complications
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Pneumococcal Infections / diagnosis*
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Pneumococcal Infections / pathology
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Pneumococcal Infections / therapy
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Pneumonia, Pneumococcal / complications
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Pneumonia, Pneumococcal / diagnosis
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Pneumonia, Pneumococcal / pathology
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Pneumonia, Pneumococcal / therapy
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Psoas Abscess / complications
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Psoas Abscess / diagnosis*
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Psoas Abscess / pathology
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Psoas Abscess / therapy
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Stents
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Streptococcus pneumoniae / isolation & purification*