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A Rare case of Complicated Malaria presenting as Warm Autoimmune Hemolytic Anemia

 ESIC Medical College and Hospital, NH-3, N.I.T Faridabad, Haryana-121012, India

Correspondence Address:
Tathagata Chatterjee,
E.S.I.C Medical College and Hospital, NH-3, N.I.T Faridabad, Haryana-121012, India.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-9062.361178

Autoimmune Hemolytic Anemia (AIHA) has been rarely reported worldwide as well as from India as the underlying cause of anemia in malaria. We hereby present a case of complicated Plasmodium falciparum malaria with concomitant warm AIHA in a 31 year old male. Direct Antiglobulin Test (DAT) was positive and elution studies showed pan-aggluttination agglutination reaction. Clinico-hematological and serological follow up of the patient was done post artesunate treatment until day 9. We suggest that it is important to establish the immune basis of anemia in malaria patients for guiding the treatment plan for the clinicians and providing packed red blood cell transfusion if required.

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