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Papers of the Week

2019 Sep 11

World J Crit Care Med



Successfully non-surgical management of flail chest as first manifestation of multiple myeloma: A case report.


Muñoz-Bermúdez R, Abella E, Zuccarino F, Masclans J R, Nolla-Salas J
World J Crit Care Med. 2019 Sep 11; 8(5):82-86.
PMID: 31559147.


Multiple myeloma is a malignant neoplasm of the bone marrow characterized by neoplastic proliferation of monoclonal plasma cells with a high relationship with destructive bone disease. We present a case of a patient diagnosed with multiple myeloma and sternal fracture in association with multiple bilateral rib fractures and thoracic kyphosis, who developed a severe acute respiratory failure, thus complicating the initial presentation of multiple myeloma. We discuss the therapeutic implications of this uncommon presentation.