A severe case of cefoxitin-induced immune hemolytic anemia.

Abstract:

:Drug-induced immune hemolytic anemia is a rare but underdiagnosed and potentially fatal condition. We report a case of severe hemolytic anemia induced by cefoxitin in a 45-year-old woman admitted with menometrorrhagia. Hemoglobin levels reached a nadir of 4.7 g/dl approximately 72 h after cefoxitin initiation, and hemolysis resolved when cefoxitin was discontinued and prednisone 1 mg/kg was initiated. A transfusion reaction workup revealed no abnormalities. Direct antiglobulin testing was weakly positive with anti-C3. The patient's plasma and RBC eluate reacted with cefoxitin-treated RBCs but not with untreated RBCs in the presence or absence of cefoxitin.

journal_name

Acta Haematol

journal_title

Acta haematologica

authors

Leaf DE,Langer NB,Markowski M,Garratty G,Diuguid DL

doi

10.1159/000320169

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

197-9

issue

4

eissn

0001-5792

issn

1421-9662

pii

000320169

journal_volume

124

pub_type

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