Coexisting Acute Ischemic Stroke, Hyperviscosity Syndrome, and Multiple Myeloma in a Patient With Septic Shock

Authors

Jonathan Ong, Oakland University William Beaumont School of Medicine Medical Student
Nikhil Aggarwal, Oakland University William Beaumont School of Medicine Medical Student
Jackson Stevens, Corewell Health East Resident
Jose Navas-Blanco, Corewell Health East

Document Type

Conference Proceeding

Publication Date

10-11-2025

Abstract

A 70 y.o. male with past medical history of multiple myeloma status post bone marrow transplant presented with shortness of breath and altered mental status. CT of the chest revealed bilateral multifocal pneumonia, for which broad-spectrum antibiotics were started. He was also found in septic shock, acute renal failure, and lactic acidosis. Upon evaluation, he also displayed hallucinations and confusion, which prompted an MRI Brain. The findings revealed acute ischemia at the right thalamic area. We will discuss the risk of acute neurologic injuries in patients with hyperviscosity syndrome due to multiple myeloma and its relationship with septic shock.

Comments

American Society of Anesthesiologists, The Anesthesiology Annual Meeting, October 10-14, 2025, San Antonio, TX

Recommended Citation

Ong J, Aggarwal N, Stevens J, Navas-Blanco J. Coexisting acute ischemic stroke, hyperviscosity syndrome, and multiple myeloma in a patient with septic shock. Presented at: American Society of Anesthesiologists, The Anesthesiology Annual Meeting; 2025 Oct 11; San Antonio, TX. Available from:https://www.abstractsonline.com/pp8/#!/21028/presentation/9725