Abstract

Multiple myeloma is a malignant plasma cell disorder occurring mostly in people above 60 years old. The authors describe a case of multiple myeloma in a 36-year-old patient revealed by spinal cord compression and Herpes zoster with a rapidly unfavourable outcome.

Highlights

  • Multiple myeloma or Kahler’s disease is the most common malignant plasma cell disorder characterized by clonal proliferation of malignant plasma cells in the bone marrow, monoclonal protein in serum or urine, associated dysfunction of organs, anaemia and hypercalcemia [1]

  • We report a case of multiple myeloma revealed by spinal cord compression and herpes zoster in a 36-year old Cameroonian

  • The cause of the disease is not known, so it is difficult to build up pathophysiological hypothesis for our patient. She was found to have several risk factors that could have favoured the development of the disease. She was a black skin farmer who had probably been overexposed to pesticides and other toxic chemical products, which are frequently used for agriculture

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Summary

Introduction

Multiple myeloma or Kahler’s disease is the most common malignant plasma cell disorder characterized by clonal proliferation of malignant plasma cells in the bone marrow, monoclonal protein in serum or urine, associated dysfunction of organs (bone and kidney), anaemia and hypercalcemia [1]. We report a case of multiple myeloma revealed by spinal cord compression and herpes zoster in a 36-year old Cameroonian. Weight loss, persistent fever and cough, we started an antituberculous treatment despite the osteolytic lesions which were not quite suggestive of Pott’s disease.

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