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Published 6 September 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.12.2008.1390]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual association of diseases/symptoms

Infectious mononucleosis with secondary cold agglutinin disease causing autoimmune haemolytic anaemia

Vikrum Malhotra1, Tobin Abraham1, Jenny Vesona2, Atish Chopra2, Nila Radakrishna2

1 Boston Medical Center, Internal Medicine, apt e415, 791 Tremont street, Boston, MA 02118, USA
2 Boston Medical Center, 791 Tremont street, Boston, MA 02118, USA

Correspondence to:
Vikrum Malhotra, vikrum.malhotra{at}gmail.com

SUMMARY

This case report describes a 20-year-old woman whose initial clinical, laboratory, and radiological presentation suggested obstructive jaundice. However, she was subsequently found to be suffering from autoimmune haemolytic anaemia resulting from an Epstein–Barr virus infection complicated by cold agglutinin disease. The patient went on to make a complete clinical recovery after discharge.


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