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Volume 6, Issue 1, June 2020, Page: 19-22
A Case of Multiple Myeloma Revealed by a Acute Otitis Media in Adults
Samaké Djibril, ENT and Head and Neck Surgery Department, Commune V Reference Health Center, Bamako, Mali
Sidibé Youssouf, ENT and Head and Neck Surgery Department, CHU Mère-Enfant "Le Luxembourg", Bamako, Mali
Samaké Magara, Nephrology-Hemodialysis Unit, Kayes Regional Hospital, Kayes, Mali
Cissé Bana, Rheumatology Unit, Commune V Reference Health Center, Bamako, Mali
Bathily Moussa, Haemato-Oncology Department, CHU Point-G, Bamako, Mali
Haidara Abdoul Wahab, ENT and Head and Neck Surgery Department, Ségou Regional Hospital, Segou, Mali
Koné Fatogoma Issa, ENT and Head and Neck Surgery Department, CHU-Gabriel Touré, Bamako, Mali
Maïga Youma Mamadou, ENT and Head and Neck Surgery Department, Commune V Reference Health Center, Bamako, Mali
Konaté Fatoumata, ENT and Head and Neck Surgery Department, Commune V Reference Health Center, Bamako, Mali
Dara Yatemelou, ENT and Head and Neck Surgery Department, Commune V Reference Health Center, Bamako, Mali
Traoré Sounkalo, Medical Imaging Department, Commune V Reference Health Center, Bamako, Mali
Doumbia-Singaré Kadidiatou, ENT and Head and Neck Surgery Department, CHU-Gabriel Touré, Bamako, Mali
Timbo Samba Karim, ENT and Head and Neck Surgery Department, CHU-Gabriel Touré, Bamako, Mali
Kéïta Mohamed Amadou, ENT and Head and Neck Surgery Department, CHU-Gabriel Touré, Bamako, Mali
Received: Mar. 28, 2020;       Accepted: Jun. 10, 2020;       Published: Jun. 20, 2020
DOI: 10.11648/j.ijo.20200601.15      View  153      Downloads  19
Abstract
Multiple myeloma or Kahler's disease is a malignant hemopathy characterized by a clonal proliferation of tumor plasma cells that invade the hematopoietic bone marrow. It is often discovered preferentially during spine, pelvis and ribs pain. Kahler's disease are rarely discovered during ENT infections. We report a case of a 58-year-old female patient that we exanimated in our ENT service for acute suppurative otitis media. The remainder of the examination revealed a swelling in the breast and functional impairment of the right upper limb. The maxillofacial CT- scan revealed lytic lacunar images of maxilla and cranial vault. Conventional X-ray displayed a fracture of the right humeral shaft. The positive diagnosis of multiple myeloma was made using bone marrow biopsy that has shown the presence of pathological plasmatic cells proliferation. Furthermore examination such as the plasma protein electrophoresis found hypo-gamma-globulinemia. Analysis of urinary sediment found κ -like Bence-Jones proteinuria. We provided Biphosphonates and analgesics treatment in addition to that of acute otitis media. Unfortunately, the death occurred six months later before he was able to benefit from a more invasive treatment protocol. This observation shows us that acute otitis media should not be trivialized, as it required a rigorous clinical examination and may surprise us.
Keywords
Multiple Myeloma, Acute Otitis Media, Gap in Images
To cite this article
Samaké Djibril, Sidibé Youssouf, Samaké Magara, Cissé Bana, Bathily Moussa, Haidara Abdoul Wahab, Koné Fatogoma Issa, Maïga Youma Mamadou, Konaté Fatoumata, Dara Yatemelou, Traoré Sounkalo, Doumbia-Singaré Kadidiatou, Timbo Samba Karim, Kéïta Mohamed Amadou, A Case of Multiple Myeloma Revealed by a Acute Otitis Media in Adults, International Journal of Otorhinolaryngology. Vol. 6, No. 1, 2020, pp. 19-22. doi: 10.11648/j.ijo.20200601.15
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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