Multiple Myeloma-Associated Kidney Disease Complicated by Sudden Death in a 68-Year-Old Man
Kidney disease can complicate multiple myeloma, and this carries a poor prognosis. The multidisciplinary management involves the use of some cardiotoxic drugs which could be fatal. We present the management of a 68-year-old man with chronic back pain, recurrent vomiting, numbness, and tingling sensa...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-07-01
|
| Series: | Assam Journal of Internal Medicine |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/ajoim.ajoim_20_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Kidney disease can complicate multiple myeloma, and this carries a poor prognosis. The multidisciplinary management involves the use of some cardiotoxic drugs which could be fatal. We present the management of a 68-year-old man with chronic back pain, recurrent vomiting, numbness, and tingling sensation for 4 weeks. He had proteinuria, anemia, hypercalcemia, hyperuricemia, serum and urinary paraproteins, lytic bone lesions, and bone marrow plasmacytosis. He was managed for multiple myeloma-associated kidney disease with rehydration, lenalidomide, dexamethasone, antibiotics, and hemodialysis. He became stable and continued treatment till he died suddenly in his sleep. A detailed cardiovascular assessment and drugs pharmacodynamics is essential to prevent sudden death. |
|---|---|
| ISSN: | 2278-8239 2773-0166 |