We report a case of a 63-year-old male with recurrent severe
respiratory infections during the last year. During the last 6 months, he
presented with a gradual onset of generalized weakness, fatigue, myalgia and
anorexia. He self-medicated with intramuscular analgesics developing abscess of
the left gluteal area.
Throughout his hospitalization, anemia and kidney failure
were found without apparent cause. Wide antibiotic coverage was used
without signs of improvement. The patient was transferred to the University Hospital,
where under the criteria of recurrent infections, normocytic anemia, and kidney
failure; metastatic series imaging is sent.
The finding of lytic punched out lesions in the skull X ray
suggested multiple myeloma. Multiple Myeloma represents pathology of diverse
distribution. Although, the incidence is not reported in Honduras, we consider
it an underdiagnosed pathology often missed because it is not considered by
clinicians.
