Sepsis-induced autoimmune hemolytic anemia in the elderly

D. Thangam, S. Deepa, P. Kumar, P. Manikandan
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Abstract

Autoimmune hemolytic anemia (AIHA) secondary to hematological malignancy is well-known and common in the elderly. AIHA associated with infection is less commonly reported in the elderly. We are reporting a case of AIHA in an elderly female with comorbidities, probably secondary to Gram-negative infection. The case was admitted and treated during the peak of the second wave of the COVID pandemic. The treatment of AIHA also had an impact on the progress and outcome of the underlying disease, leading to readmission in a short span of time. The patient also developed a thrombotic complication known to be associated with AIHA.
老年人败血症引起的自身免疫性溶血性贫血
继发于血液系统恶性肿瘤的自身免疫性溶血性贫血(AIHA)在老年人中是众所周知和常见的。与感染相关的AIHA在老年人中较少报道。我们报告一例AIHA患者为老年女性,伴有合并症,可能继发于革兰氏阴性感染。该病例是在第二波COVID大流行高峰期间入院和治疗的。AIHA的治疗也对基础疾病的进展和结果产生影响,导致在短时间内再次入院。患者还发生了已知与AIHA相关的血栓性并发症。
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