Khan Fahmi Yousef, A yassin Mohamed
Department of Medicine, Hamad General Hospital, Doha-Qatar.
Braz J Infect Dis. 2009 Feb;13(1):77-9. doi: 10.1590/s1413-86702009000100018.
We report a case of severe hemolytic anemia following Mycoplasma pneumoniae infection in a 29-year-old male patient who was treated with azithromycin. Direct Coombs' test was strongly positive and the cold agglutinin titer was high, with anti-I specificity. Antimycoplasma antibody titer by complement fixation was high 1:10,240. The patient was discharged after 12 days of hospitalization in good health. He remains clinically well with no recurrence of jaundice.
我们报告一例29岁男性患者,在感染肺炎支原体后发生严重溶血性贫血,该患者接受了阿奇霉素治疗。直接抗人球蛋白试验呈强阳性,冷凝集素效价高,具有抗-I特异性。补体结合法检测的抗支原体抗体效价高,为1:10,240。患者住院12天后康复出院。他目前临床状况良好,黄疸未复发。