ISSN: 1300-7777 E-ISSN: 1308-5263
Unusual Cause of Back Pain in a Multiple Myeloma Patient: Infectious Discitis [Turk J Hematol]
Turk J Hematol. 2001; 18(4): 285-289

Unusual Cause of Back Pain in a Multiple Myeloma Patient: Infectious Discitis

Şevki Kabak1, Mustafa Çetin2, Bülent Eser2, Ali Ünal2, Apdulhakim Coşkun3
1Department Of Orthopaedics And Traumatology, Faculty Of Medicine, University Of Erciyes, Kayseri, Turkey
2Department Of Hematology Oncology, Faculty Of Medicine, University Of Erciyes, Kayseri, Turkey
3Department Of Radiodiagnostics, Faculty Of Medicine, University Of Erciyes, Kayseri, Turkey

A 58 year old patient, followed up for diabetes mellitus and multiple myeloma for ten years and six months, respectively, presented with persistent back pain, weakness at his lower extremity and intermittent fever. Activation markers of myeloma were in normal limits except high erythrocyte sedimentation rate and elevated C-reactive protein. Magnetic resonance imaging revealed increased T1 spinal intensity at the suspected disc level. Discitis was suspected on the basis of MRl and high fever. An intraoperative examination of specimens revealed Staphylococcus aureus. Detailed laboratory and radiological investigations should be performed to diagnose unusual causes of persistent back pain, such as discitis in patients with myeloma.

Keywords: Back pain, Multiple myeloma, Discitis.


Şevki Kabak, Mustafa Çetin, Bülent Eser, Ali Ünal, Apdulhakim Coşkun. Unusual Cause of Back Pain in a Multiple Myeloma Patient: Infectious Discitis. Turk J Hematol. 2001; 18(4): 285-289

Corresponding Author: Şevki Kabak, Türkiye


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