Multiple Myeloma, A Patient with Multiple Infections

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.