Positive direct antiglobulin test with Unasyn--a case report.

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Abstract

A 56-year-old Chinese lady with valvular heart disease and atrial fibrillation was referred to us from a private hospital for further management of autoimmune haemolytic anaemia. Physical examination and laboratory investigations did not support the diagnosis of haemolytic anaemia. However, direct antiglobulin test (DAT) was strongly positive with anti-IgG and negative with anti-C3d. There was also mild anaemia and reticulocytosis, which was attributable to persistent haematuria. The DAT became positive after commencing Unasyn and cessation was associated with decreasing reactivity of the positive DAT. We believe that the positive DAT in this patient was most likely due to the Unasyn therapy.

Original languageEnglish
Pages (from-to)517-519
Number of pages3
JournalMedical Journal of Malaysia
Volume54
Issue number4
Publication statusPublished - Dec 1999

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Coombs Test
Reticulocytosis
Autoimmune Hemolytic Anemia
Heart Valve Diseases
Private Hospitals
Hemolytic Anemia
Hematuria
Atrial Fibrillation
Physical Examination
Anemia
sultamicillin
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Positive direct antiglobulin test with Unasyn--a case report. / Chooi Fun, Leong; Cheong, S. K.; S. Abdul Wahid, S Fadilah.

In: Medical Journal of Malaysia, Vol. 54, No. 4, 12.1999, p. 517-519.

Research output: Contribution to journalArticle

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