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Figure 1. A 50-year-old woman presented with fatigue, pallor, and jaundice after taking cefotetan and netilmicin for a respiratory tract infection. The hemoglobin level was 3.1 g per deciliter, the red-cell count was 960,000 per cubic millimeter, the total bilirubin level was 5.4 mg per deciliter (92 µmol per liter), and the direct Coombs' test was strongly positive (++++), indicating the occurrence of immune hemolytic anemia. A peripheral-blood smear stained with May–Grunwald–Giemsa stain (x1400) showed granulocytes that had phagocytized erythrocytes (erythrophagocytosis). The patient's condition deteriorated rapidly, and she died suddenly before transfusions could be administered and before . . . [Full Text of this Article] |
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