我院收治了1例以长期发热为首发症状的多发性骨髓瘤患者，报道如下。患者，男，38岁。1991年初开始不明原因发热，体温38℃左右．午后体温升高，夜间恢复正常，伴咳嗽、咯白痰、盗汗。余无特殊。经多种抗生素及3个月的正规抗结核治疗无效。无特殊过去史及家族史。1991年7月25日 In our hospital, 1 patient with multiple myeloma with long-term fever as the first symptom was reported as follows. Patient, male, 38 years old. Unexplained fever began at the beginning of 1991, and the body temperature was around 38°C. In the afternoon, the body temperature increased and returned to normal at night with cough, sputum, and night sweats. I have no special. After a variety of antibiotics and 3 months of regular anti-tuberculosis treatment is ineffective. No special past and family history. July 25, 1991