Correct!
5. Streptococcus pneumoniae infection
The thoracic CT shows right upper lobe and right lower lobe consolidations most compatible with pneumonia as well as centrilobular and paraseptal emphysema. Patients with multiple myeloma are at increased risk of infection because of impaired plasma cell function with insufficient antibody function, impaired lymphocyte function, and potentially chemotherapy induced neutropenia. Streptococcus pneumoniae, Haemophilus influenza and Escherichia coli are the most common organisms typically causing pneumonia or urinary tract infections. Vaccination is recommended for influenza and pneumococcal disease even though the antibody response may be reduced in multiple myeloma patients.
Two ECGs were performed several hours apart (Figure 3).
Figure 3. Electrocardiograms performed shortly after admission.
What is/are the significant finding(s)on these ECGs? (Click on the correct answer to proceed to the third of seven pages)