[Myeloma, Kaposi's sarcoma and HHV8 infection in hemodialyzed patient]

Mohamed Mongi Bacha1, Rym Goucha, Karim Zouaghi

  • 1Service de Médecine Interne A, Hôpital Charles Nicolle, Tunis, Tunisie.

La Tunisie Medicale
|August 3, 2007
PubMed
Abstract

Insights

This case report details a patient with multiple myeloma and hemodialysis who developed Kaposi's sarcoma, suggesting a potential link between these conditions and Human Herpes Virus 8 infection.

Area of Science:

  • Oncology
  • Virology
  • Nephrology

Background:

  • The link between Kaposi's sarcoma (KS), Human Herpes Virus 8 (HHV-8), and multiple myeloma (MM) remains debated, particularly in patients undergoing hemodialysis.
  • Investigating co-infections and their impact on immunocompromised individuals is crucial.

Observation:

  • A case of an 83-year-old male with IgA/kappa multiple myeloma and end-stage renal failure requiring hemodialysis is presented.
  • The patient developed extensive Kaposi's sarcoma lesions on his lower limbs three months after initiating MM treatment.
  • Skin biopsy confirmed Kaposi's sarcoma, and HHV-8 testing was positive.

Findings:

  • The co-occurrence of Kaposi's sarcoma and multiple myeloma in this patient supports the hypothesis of a shared etiology, potentially involving Human Herpes Virus 8.
  • The patient's immunodepressed state, exacerbated by aging, multiple myeloma, chemotherapy, and hemodialysis, likely contributed to the rapid progression of Kaposi's sarcoma.

Implications:

  • This case adds to the evidence suggesting a potential association between multiple myeloma, Human Herpes Virus 8, and Kaposi's sarcoma.
  • Further research is warranted to elucidate the complex interplay between these conditions, especially in the context of chronic illness and immunosuppression.
  • Understanding these associations can inform diagnostic and therapeutic strategies for immunocompromised patients.

Related Concept Videos

Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...