Transient Monoclonal Gammopathy Induced by Disseminated Staphylococcus aureus Infection

Monoclonal gammopathy reflects a serological disorder suggesting a plasma cell dyscrasia or a B-cell abnormality. However, it may occasionally be encountered as a transient manifestation in the course of several diseases including infections. This is the first reported case of a transient monoclonal...

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Main Authors: Dimitrios Stoimenis, Christina Spyridonidou, Nikos Papaioannou
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/607104
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author Dimitrios Stoimenis
Christina Spyridonidou
Nikos Papaioannou
author_facet Dimitrios Stoimenis
Christina Spyridonidou
Nikos Papaioannou
author_sort Dimitrios Stoimenis
collection DOAJ
description Monoclonal gammopathy reflects a serological disorder suggesting a plasma cell dyscrasia or a B-cell abnormality. However, it may occasionally be encountered as a transient manifestation in the course of several diseases including infections. This is the first reported case of a transient monoclonal gammopathy IgG lambda light chain associated with a Staphylococcus aureus infection that was complicated with renal abscess and vertebral spondylodiscitis in a previously healthy 68-year-old male. We observed a complete resolution of the gammopathy within three months of medical treatment before the entire restoration of all clinical and laboratory findings. Many invasive and cost-intensive diagnostic procedures had preceded the exclusion of a malignancy. The clinical significance and the exact pathogenesis of transient monoclonality are poorly understood and remain a matter of speculation.
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spelling doaj-art-b60435e8dbd64f8fb4fdc83936a527c82025-08-20T02:23:23ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/607104607104Transient Monoclonal Gammopathy Induced by Disseminated Staphylococcus aureus InfectionDimitrios Stoimenis0Christina Spyridonidou1Nikos Papaioannou21st Department of Internal Medicine, “Georgios Papanikolaou” General Hospital, Exochi, 570 10 Thessaloniki, Greece1st Department of Internal Medicine, “Georgios Papanikolaou” General Hospital, Exochi, 570 10 Thessaloniki, Greece1st Department of Internal Medicine, “Georgios Papanikolaou” General Hospital, Exochi, 570 10 Thessaloniki, GreeceMonoclonal gammopathy reflects a serological disorder suggesting a plasma cell dyscrasia or a B-cell abnormality. However, it may occasionally be encountered as a transient manifestation in the course of several diseases including infections. This is the first reported case of a transient monoclonal gammopathy IgG lambda light chain associated with a Staphylococcus aureus infection that was complicated with renal abscess and vertebral spondylodiscitis in a previously healthy 68-year-old male. We observed a complete resolution of the gammopathy within three months of medical treatment before the entire restoration of all clinical and laboratory findings. Many invasive and cost-intensive diagnostic procedures had preceded the exclusion of a malignancy. The clinical significance and the exact pathogenesis of transient monoclonality are poorly understood and remain a matter of speculation.http://dx.doi.org/10.1155/2012/607104
spellingShingle Dimitrios Stoimenis
Christina Spyridonidou
Nikos Papaioannou
Transient Monoclonal Gammopathy Induced by Disseminated Staphylococcus aureus Infection
Case Reports in Medicine
title Transient Monoclonal Gammopathy Induced by Disseminated Staphylococcus aureus Infection
title_full Transient Monoclonal Gammopathy Induced by Disseminated Staphylococcus aureus Infection
title_fullStr Transient Monoclonal Gammopathy Induced by Disseminated Staphylococcus aureus Infection
title_full_unstemmed Transient Monoclonal Gammopathy Induced by Disseminated Staphylococcus aureus Infection
title_short Transient Monoclonal Gammopathy Induced by Disseminated Staphylococcus aureus Infection
title_sort transient monoclonal gammopathy induced by disseminated staphylococcus aureus infection
url http://dx.doi.org/10.1155/2012/607104
work_keys_str_mv AT dimitriosstoimenis transientmonoclonalgammopathyinducedbydisseminatedstaphylococcusaureusinfection
AT christinaspyridonidou transientmonoclonalgammopathyinducedbydisseminatedstaphylococcusaureusinfection
AT nikospapaioannou transientmonoclonalgammopathyinducedbydisseminatedstaphylococcusaureusinfection