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Pneumococcal septic arthritis as the first manifestation of multiple myeloma
M Cuesta1, M Bernad, A Espinosa
1Department of Rheumatology, La Paz Hospital, Madrid, Spain.
Clinical and Experimental Rheumatology
|September 1, 1992
Abstract:
In this paper we report a 47 year old woman with septic arthritis due to Streptococcus pneumoniae. No known predisposing factor was found. After an extensive workup a multiple myeloma was discovered. In our case septic arthritis was the first manifestation of multiple myeloma.
Insights
A rare case of septic arthritis caused by Streptococcus pneumoniae in a 47-year-old woman was linked to an undiagnosed multiple myeloma. This presentation highlights septic arthritis as an initial symptom of multiple myeloma.
Area of Science:
- Rheumatology
- Infectious Diseases
- Hematology
Background:
- Septic arthritis is a serious joint infection that requires prompt diagnosis and treatment.
- Streptococcus pneumoniae is a common cause of bacterial infections, including pneumonia and meningitis.
- Multiple myeloma is a cancer of plasma cells, a type of white blood cell.
Observation:
- A 47-year-old woman presented with septic arthritis due to Streptococcus pneumoniae.
- No predisposing factors for infection or myeloma were initially identified.
- Extensive medical workup revealed an underlying diagnosis of multiple myeloma.
Findings:
- Septic arthritis was the initial clinical manifestation in this patient with multiple myeloma.
- The case underscores the importance of considering underlying hematologic malignancies in unexplained septic arthritis.
Implications:
- This case expands the understanding of the diverse clinical presentations of multiple myeloma.
- Early recognition of septic arthritis as a myeloma symptom could lead to earlier diagnosis and treatment of the malignancy.
- Further research may elucidate the mechanisms linking Streptococcus pneumoniae infections to multiple myeloma.