A case report of cold autoimmune haemolyticanaemia in pulmonary tuberculosis

Authors

  • Razan Hayati Zulkeflee Transfusion Medicine Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Nurul Asyikin Nizam Akbar Transfusion Medicine Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Shafini Yusoff Transfusion Medicine Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Faezahtul Arbaeyah Hussin Anatomy Pathology Department, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Azlan Husin Internal Medicine Department, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Zefarina Zulkafli Transfusion Medicine Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Mohd Nazri Hassan Transfusion Medicine Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Marini Ramli Transfusion Medicine Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Marne Abdullah Transfusion Medicine Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Salfarina Iberahim Transfusion Medicine Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Wan Suriana Wan Abdul Rahman School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Rosnah Bahar Transfusion Medicine Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Noor Haslina Mohd Noor Transfusion Medicine Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia

DOI:

https://doi.org/10.3329/bjms.v21i3.59595

Keywords:

Cold AIHA; Pulmonary tuberculosis; Cold agglutinin syndrome

Abstract

Autoimmune hemolyticanemia (AIHA) can be caused by a variety of etiologies. Approximately one-half of warm AIHAs are idiopathic, while the nonidiopathicetiologies include lymphoproliferative disorders, autoimmune disease, and infection-induced AIHA. AIHA may be frequently challenged by infectious complications, mainly as a result of immunosuppressive treatments administered. Here we reported an extraordinary case of Mycobacterium tuberculosis infection presented with high titer cold-agglutinin autoimmune hemolysis in an immunocompetent patient. Although being risk factors for mortality, infections are an underestimated issue in AIHA. No antecedent case of pulmonary tuberculosis associated with cold agglutinin disease has been reported from Malaysia.

Bangladesh Journal of Medical Science Vol. 21 No. 03 July’22 Page: 754-757

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Published

2022-05-21

How to Cite

Zulkeflee, R. H. ., Nizam Akbar, N. A. ., Yusoff, S. ., Hussin, F. A. ., Husin, A. ., Zulkafli, Z. ., Hassan, M. N. ., Ramli, M. ., Abdullah, M. ., Iberahim, S. ., Abdul Rahman, W. S. W. ., Bahar, R. ., & Mohd Noor, N. H. . (2022). A case report of cold autoimmune haemolyticanaemia in pulmonary tuberculosis. Bangladesh Journal of Medical Science, 21(3), 754–757. https://doi.org/10.3329/bjms.v21i3.59595

Issue

Section

Case Reports