Author:
Jawed Memoona,Hart Elizabeth,Saeed Malik
Abstract
A man in his early 50s presented with jaundice, mild shortness of breath on exertion and dark urine. He had had coryzal symptoms 2 weeks prior to admission. Medical history included obstructive sleep apnoea and hypertension. His initial blood tests showed a mild hyperbilirubinaemia and acute kidney injury stage 1. Chest X-ray and CT pulmonary angiogram were negative for features suggestive of COVID-19. He later developed a drop in haemoglobin and repeat bloods showed markedly raised lactate dehydrogenase and positive direct antiglobulin test. These results were felt to be consistent with a haemolytic anaemia. A nasopharyngeal swab came back positive for COVID-19. We suspect the cause of his symptoms was an autoimmune haemolytic anaemia secondary to COVID-19 which has recently been described in European cohorts.
Reference12 articles.
1. WHO . Novel coronavirus – China, disease outbreak news, 2020. Available: https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/
2. GOV.UK coronavirus (COVID-19) in the UK. Available: https://coronavirus.data.gov.uk/ [Accessed 29 Sep 2020].
3. Renal histopathological analysis of 26 postmortem findings of patients with COVID-19 in China
4. Thrombotic risk in patients with immune haemolytic anaemia;Ruggeri;Br J Haematol,2016
5. Characteristics and Outcomes of 21 Critically Ill Patients With COVID-19 in Washington State
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