Nodular hepatic lesions secondary to myeloma IgA presenting as fever of unknown origin |
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Authors: | González Guido Ricardo Navarro Ana María Zambrano Angela Regina Arrunátegui Ana María |
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Affiliation: | Departamento de Medicina Interna, Fundación Valle del Lili, Universidad CES, Cali, Colombia. mdguidrg79@hotmail.com |
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Abstract: | 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. |
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