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2024, Vol: 3, Issue: 1
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Case Report
Online Published: 28 Jul 2024
 


Outcome and Quality of Life in a Patient with Advanced Multiple Myeloma in Whom Blood Transfusion Is Not an Option: A Case Report

Marcus I. Asuquo, Kenneth O. Inaku, Nathaniel I. Usoro, Kingsley O. Akaba.


Abstract
Background: Patients with multiple myeloma often experience severe anaemia, complicating management, especially when they object to blood transfusion due to religious beliefs.
Objective: To present a successful management approach for severe anaemia in a patient with multiple myeloma who refused blood transfusion.
Methods: We present a case of a 58-year-old male patient with multiple myeloma who objected to blood transfusion due to his religious beliefs. The presenting haemoglobin level ( Hb) was 2.5g/dl, with signs and symptoms of heart failure and hyperviscosity syndrome. We resuscitated the patient and commenced Hb optimisation using intravenous iron, intravenous vitamin C, intravenous Vitamin B complex, and subcutaneous human recombinant erythropoietin Beta.
Results: The patient progressed from a wheelchair to independent walking, achieved remission, and saw haemoglobin rise to 8 g/dL. Stable blood pressure and PCV (30-35%) indicated successful management.
Conclusion: It is possible to manage very severe anaemia without blood transfusion in patients with multiple myeloma. We recommend clinical trials on managing anaemia without blood transfusion in multiple myeloma patients. This strategy will benefit many patients who need treatment in settings where transfusion is not possible and especially where blood transfusion is not an option.

Key words: Multiple Myeloma, Quality of Life, Blood transfusion, Anaemia


 
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How to Cite this Article
Pubmed Style

MIA, Inaku KO, Usoro NI, Akaba KO. Outcome and Quality of Life in a Patient with Advanced Multiple Myeloma in Whom Blood Transfusion Is Not an Option: A Case Report. crjmed. Online First: 28 Jul, 2024. doi:10.5455/CRJMED.189956

Web Style

MIA, Inaku KO, Usoro NI, Akaba KO. Outcome and Quality of Life in a Patient with Advanced Multiple Myeloma in Whom Blood Transfusion Is Not an Option: A Case Report. https://www.crjmed.com/?mno=189956 [Access: October 28, 2024]. doi:10.5455/CRJMED.189956

AMA (American Medical Association) Style

MIA, Inaku KO, Usoro NI, Akaba KO. Outcome and Quality of Life in a Patient with Advanced Multiple Myeloma in Whom Blood Transfusion Is Not an Option: A Case Report. crjmed. Online First: 28 Jul, 2024. doi:10.5455/CRJMED.189956


Vancouver/ICMJE Style

MIA, Inaku KO, Usoro NI, Akaba KO. Outcome and Quality of Life in a Patient with Advanced Multiple Myeloma in Whom Blood Transfusion Is Not an Option: A Case Report. crjmed, [cited October 28, 2024]; Online First: 28 Jul, 2024. doi:10.5455/CRJMED.189956


Harvard Style

, M. I. A., Inaku, . K. O., Usoro, . N. I. & Akaba, . K. O. (2024) Outcome and Quality of Life in a Patient with Advanced Multiple Myeloma in Whom Blood Transfusion Is Not an Option: A Case Report. crjmed, Online First: 28 Jul, 2024. doi:10.5455/CRJMED.189956


Turabian Style

, Marcus I. Asuquo, Kenneth O. Inaku, Nathaniel I. Usoro, and Kingsley O. Akaba. 2024. Outcome and Quality of Life in a Patient with Advanced Multiple Myeloma in Whom Blood Transfusion Is Not an Option: A Case Report. Cross River Journal of Medicine, Online First: 28 Jul, 2024. doi:10.5455/CRJMED.189956


Chicago Style

, Marcus I. Asuquo, Kenneth O. Inaku, Nathaniel I. Usoro, and Kingsley O. Akaba. "Outcome and Quality of Life in a Patient with Advanced Multiple Myeloma in Whom Blood Transfusion Is Not an Option: A Case Report." Cross River Journal of Medicine Online First: 28 Jul, 2024. doi:10.5455/CRJMED.189956


MLA (The Modern Language Association) Style

, Marcus I. Asuquo, Kenneth O. Inaku, Nathaniel I. Usoro, and Kingsley O. Akaba. "Outcome and Quality of Life in a Patient with Advanced Multiple Myeloma in Whom Blood Transfusion Is Not an Option: A Case Report." Cross River Journal of Medicine Online First: 28 Jul, 2024. Web. 28 Oct 2024 doi:10.5455/CRJMED.189956


APA (American Psychological Association) Style

, M. I. A., Inaku, . K. O., Usoro, . N. I. & Akaba, . K. O. (2024) Outcome and Quality of Life in a Patient with Advanced Multiple Myeloma in Whom Blood Transfusion Is Not an Option: A Case Report. Cross River Journal of Medicine, Online First: 28 Jul, 2024. doi:10.5455/CRJMED.189956


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