Chew WH1*, Zainal Adlishah ZA1, Fann RJ1, Mohamad AZ2, Ong TC2 and Jameela2
1Department of Internal Medicine, Hospital Canselor Tuanku Muhriz, Malaysia 2Department of Hematology, Ampang Hospital, MalaysiaFulltext PDF
Mycoplasma infection is commonly associated with subclinical hemolysis. We report a case of Mycoplasma infection in a 15 year-old young lady who had severe anemia with hemoglobin level of 2.4 on presentations. There was clinical and radiological evidence of pneumonia, as well as elevated Mycoplasma antibody titer. Peripheral blood film was suggestive of AIHA with active hemolysis and Coombs test was strongly positive (4+) for IgG and C3d suggestive of warm AIHA. She was treated with oral Azithromycin, IV methylprednisolone, IV immunoglobulin and blood transfusion. She was discharged with oral prednisolone and showed a favorable recovery on blood count on follow up.
Chew WH, Zainal Adlishah ZA, Fann RJ, Mohamad AZ, Ong TC, Jameela. Mycoplasma pneumoniae Induced Warm Autoimmune Hemolytic Anemia – A Rare Case Report. Ann Clin Case Rep. 2020; 5: 1870..