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Annals of Hematology

, Volume 80, Issue 3, pp 180–182 | Cite as

Severe hemolytic anemia and excessive leukocytosis masking mycoplasma pneumonia

  • Florian Daxböck
  • Konstantin Zedtwitz-Liebenstein
  • Heinz Burgmann
  • Wolfgang Graninger
Case Report

Abstract

The formation of cold agglutinins is frequently observed during Mycoplasma pneumoniae infections. Nevertheless, severe hemolysis is exceptional. We report a case of life-threatening hemolytic anemia caused by M. pneumoniae. As the leucocyte count was excessively elevated, the differential diagnosis primarily comprised hematological malignancies. The presence of cold agglutinins indicated the correct diagnosis, which was confirmed by highly elevated levels of both IgG and IgM antibodies to M. pneumoniae and a chest X-ray suggestive of atypical pneumonia. The patient was treated with roxithromycin and showed a favorable recovery within ten days after admission. This case demonstrates that, even in patients with clinically mild pneumonia, M. pneumoniae may be the cause of severe anemia.

Mycoplasma pneumoniae Hemolytic anemia Leucocytosis Cold agglutinins 

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Copyright information

© Springer-Verlag 2000

Authors and Affiliations

  • Florian Daxböck
    • 1
  • Konstantin Zedtwitz-Liebenstein
    • 1
  • Heinz Burgmann
    • 1
  • Wolfgang Graninger
    • 1
  1. 1.Department for Internal Medicine I, Division of Infectious Diseases and Chemotherapy, University Hospital of Vienna, Währinger Gürtel 18–20, 1090 WienAustria

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