Necrotizing fasciitis as a rare complication of osteonecrosis of the jaw in a patient with multiple myeloma treated with lenalidomide: case report and review of the literature | Canada Hyperbarics Skip to main content
Case Report Springerplus 2014

Necrotizing fasciitis as a rare complication of osteonecrosis of the jaw in a patient with multiple myeloma treated with lenalidomide: case report and review of the literature

Mondello P, Pitini V, Arrigo C, Mondello S, Mian M, Altavilla G — Springerplus, 2014

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers described a rare case of a patient with multiple myeloma who developed a severe infection called necrotizing fasciitis as a complication of bisphosphonate-related osteonecrosis of the jaw.

What They Found

The patient, who had been on Ibandronate for 5 years and received lenalidomide, presented with severe neck swelling and pain. After surgical removal of a large necrotic area, the patient required 12 sessions of hyperbaric oxygen therapy and specific antimicrobial treatment to recover from the life-threatening infection.

What This Means for Canadian Patients

For Canadian patients with multiple myeloma treated with bisphosphonates and anti-cancer drugs, this case highlights the potential for serious jaw bone complications like BRONJ, which can lead to life-threatening infections such as necrotizing fasciitis. Early recognition and comprehensive treatment, including hyperbaric oxygen therapy, may be crucial for managing such severe outcomes.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

As a case report, this study describes a single patient's experience and its findings may not apply to all patients with similar conditions.

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Study Details

Study Type Case Report
Category Infection
Source Pubmed
PubMed ID 24711984
Year Published 2014
Journal Springerplus

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.