Invasive pneumococcal disease presenting with abdominal pain, vomiting and diarrhoea in a patient with multiple myeloma
Atypical invasive pneumococcal disease involving the peritoneum and gastrointestinal tract is rare in adults, but immunocompromised patients, such as those with multiple myeloma, are at increased risk of morbidity and mortality.Timely, targeted antibiotic therapy combined with effective source control through image-guided drainage of intra-abdominal abscesses is crucial for recovery and minimizes the need for surgery.Prompt recognition, integrated multidisciplinary management, and vaccination are essential to improve outcomes and prevent recurrence in vulnerable patients.
Authors
- Mariana Dias (ORCID: https://orcid.org/0000-0002-7561-9014)
- João Madeira Lopes (ORCID: https://orcid.org/0000-0002-1194-4483)
- Hélder Diogo Gonçalves (ORCID: https://orcid.org/0000-0003-4908-2986)
- Ana Castro Barbosa (ORCID: https://orcid.org/0000-0001-5843-7246)
- Inês Quinteiro (ORCID: https://orcid.org/0009-0003-5461-5502)
- Ana Melício (ORCID: https://orcid.org/0009-0003-5386-6684)
- Sara Vasconcelos-Teixeira (ORCID: https://orcid.org/0009-0003-9164-7319)
Institutions
- Administração Regional de Saúde de Lisboa e Vale do Tejo (PT)
- Hospital de Santa Maria (PT)
Publication Details
- Journal
- European Journal of Case Reports in Internal Medicine
- Published
- 2025-12-04
- DOI
- https://doi.org/10.12890/2025_005890
- Primary Topic
- Pneumonia and Respiratory Infections
- Type
- article
- Field-Weighted Citation Impact
- 0.00