Successful therapeutic plasma exchange in cold autoimmune hemolytic anemia in patient with disseminated tuberculosis

N Belfeki; A Strazzulla; P Isnard; S Hamrouni; B Maamar; P Soulier; M Monchi; S Diamantis

doi:10.4081/reumatismo.2020.1299

Successful therapeutic plasma exchange in cold autoimmune hemolytic anemia in patient with disseminated tuberculosis

Reumatismo. 2021 Jan 18;72(4):247-251. doi: 10.4081/reumatismo.2020.1299.

Authors

N Belfeki¹, A Strazzulla², P Isnard³, S Hamrouni¹, B Maamar⁴, P Soulier⁵, M Monchi⁶, S Diamantis⁷

Affiliations

¹ Department of Internal Medicine, Groupe Hospitalier Sud Ile de France, Melun. [email protected].
² Department of Internal Medicine, Groupe Hospitalier Sud Ile de France, Melun. [email protected].
³ Department of Pathology, Hôpital Necker des Enfants Malades, Paris. [email protected].
⁴ Department of Microbiology, Hôpital Avicenne, Bobigny. [email protected].
⁵ Department of Intensive care, Groupe Hospitalier Sud Ile de France, Melun. [email protected].
⁶ Department of Intensive care, Groupe Hospitalier Sud Ile de France, Melun. [email protected].
⁷ Department of Internal Medicine, Groupe Hospitalier Sud Ile de France, Melun. [email protected].

PMID: 33677951
DOI: 10.4081/reumatismo.2020.1299

Abstract

An association of autoimmune hemolytic anemia with disseminated tuberculosis is an exceedingly rare entity. We describe herein a case of cold hemolytic autoimmune anemia associated with miliary tuberculosis resolved with blood transfusions, therapeutic plasma exchange, and antituberculous agents. We discuss the advantages of therapeutic plasma exchange at an early stage in the management of this condition.

Publication types

Case Reports

MeSH terms

Anemia, Hemolytic, Autoimmune* / complications
Anemia, Hemolytic, Autoimmune* / therapy
Humans
Plasma Exchange
Tuberculosis, Miliary* / complications
Tuberculosis, Miliary* / therapy