case_images: PMC8396390_01
case_images: trend in renal function relative to initiation of myeloma chemotherapy and COVID-19 infection; BM= bone marrow, Bx = biopsy
case_images: PAMJ-39-117-g001.jpg
case_images: PMC8396390_01_PAMJ-39-117-g001.jpg
case_images: F1
case_images: She was noted by her primary care physician to have progressively worsening renal function and elevated serum globulin levels over the previous year (Figure 1).
case_images: trend in serum free light chain levels and kappa-lambda free light chain (KL) ratios relative to initiation of myeloma chemotherapy and COVID-19 infection; KL ratios are shown above the bars; BM= bone marrow, Bx = biopsy
case_images: PAMJ-39-117-g002.jpg
case_images: PMC8396390_01_PAMJ-39-117-g002.jpg
case_images: F2
case_images: Serum free light chains were markedly elevated (Figure 2). Follow-up and outcomes: the patient was seen in the teleoncology clinic seven weeks later, where follow-up laboratory studies showed dramatic improvement in myeloma disease markers (Figure 2).
case_images: initial bone marrow biopsy at 20x magnification shows sheets of plasma cells highlighted with CD138 immunohistochemistry staining
case_images: PAMJ-39-117-g003.jpg
case_images: PMC8396390_01_PAMJ-39-117-g003.jpg
case_images: F3
case_images: CD138 + by immunohistochemical studies; and background normal hematopoietic cells (Figure 3, Figure 4). Cytogenetic studies showed 13q and 17p deletions, conferring high risk features.
case_images: initial bone marrow biopsy at 40x magnification showing sheets of plasma cells with hematoxylin and eosin staining
case_images: PAMJ-39-117-g004.jpg
case_images: PMC8396390_01_PAMJ-39-117-g004.jpg
case_images: F4
case_images: CD138 + by immunohistochemical studies; and background normal hematopoietic cells (Figure 3, Figure 4). Cytogenetic studies showed 13q and 17p deletions, conferring high risk features.
case_images: bone marrow biopsy after a single cycle of CyBorD and COVID-19 infection at 20X magnification demonstrating only scattered plasma cells on CD138 immunohistochemistry staining
case_images: PAMJ-39-117-g005.jpg
case_images: PMC8396390_01_PAMJ-39-117-g005.jpg
case_images: F5
case_images: She underwent another bone marrow biopsy, which showed normocellular bone marrow with the usual trilineage hematopoiesis (Figure 5, Figure 6).
case_images: bone marrow biopsy after a single cycle of CyBorD and COVID-19 infection at 20X magnification demonstrating trilineage hematopoiesis with hematoxylin and eosin staining
case_images: PAMJ-39-117-g006.jpg
case_images: PMC8396390_01_PAMJ-39-117-g006.jpg
case_images: F6
case_images: She underwent another bone marrow biopsy, which showed normocellular bone marrow with the usual trilineage hematopoiesis (Figure 5, Figure 6).