Destroyed Lung Secondary to Multiple Myeloma in a Previously Treated Tuberculosis Patient

Abstract

This case is presented with a pulmonary parenchymal destruction due to acquired multiple myeloma who has a history of pulmonary tuberculosis. A 55 year old male patient attempted to emergency department with complaints of shortness of breath. The final diagnose with the existing clinical and laboratory outputs were right pulmonary parenchymal destruction and pleural involvements secondary to multiple myeloma. Our prediagnose was confirmed by the overt plasma cell increase and Russell bodies in cytopathologic examination of the pleural fluid. Even though multiple myeloma leads to destruction in the pulmonary parenchyma rarely, patients should be scrutinized enough to elicit true diagnose.

Keywords

• Multiple myeloma, tuberculosis, destroyed lung

Destroyed Lung Secondary to Multiple Myeloma in a Previously Treated Tuberculosis Patient

Öz

Multipl myeloma bağlı, pulmoner parankimal destrüksiyon gelişen, daha önceden geçirilmiş pulmoner tüberküloz öyküsü olan vaka sunulmuştur. 55 yaşında erkek hasta acil servise nefes darlığı şikayeti ile başvurdu. Hasta klinik bulguları ve labaratuar tetkikleri ile değerlendirildikten sonra, mutipl myeloma sekonder sağ pulmoner parankimal destrüksiyon ve plevral tutulum tanısı konuldu. Ön tanımız, plevral sıvının sitopatolojik incelemesinde artmış plazma hücresi ve Russell body hücreleri görülmesi ile doğrulandı. Multipl myelom nadiren pulmoner parankimal destrüksiyone yol açmasına rağmen, hastalarda ayırıcı tanı için ayrıntılı incelemek gerekmektedir

Anahtar Kelimeler

• Mutipl myelom, tüberküloz, akciğer destrüksiyonu

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