Abstract
A 70-year-old man with known cold autoimmune haemolytic anaemia was referred to the emergency department with increased shortness of breath on exertion. He had been confirmed positive for non-variant COVID-19 infection 1 week earlier based on nasopharyngeal swab PCR assay. CT thorax demonstrated diffuse patchy bilateral ground glass opacities, consistent with COVID-19 pneumonia. Bloodwork demonstrated severe cold agglutinin mediated haemolytic anaemia. To help stabilise the patient, he was transferred to a tertiary care hospital for urgent therapeutic plasma exchange. Key supportive therapy included folic acid supplementation, ensuring the patient was kept warm and warmed infusions including transfusions via the apheresis machine. The patient made a good recovery following plasma exchange, and his haemoglobin levels remained stable by discharge.
Keywords: COVID-19; haematology (drugs and medicines); haematology (incl blood transfusion).
【저자키워드】 COVID-19, haematology (drugs and medicines), haematology (incl blood transfusion)., 【초록키워드】 COVID-19 pneumonia, therapy, Pneumonia, hospital, discharge, Folic acid, emergency department, Nasopharyngeal swab, Haemoglobin, COVID-19 infection, ground glass opacities, plasma exchange, Patient, plasma, Autoimmune, Care, Blood, Haematology, Therapeutic plasma exchange, referred to, Blood Transfusion, supportive therapy, Cold Agglutinin, Shortness of breath, Thorax, Medicines, help, warm, positive, exertion, nasopharyngeal swab PCR, apheresis machine, the patient, remained, demonstrated, patchy, transferred, with COVID-19, 【제목키워드】 Therapeutic plasma exchange, Cold agglutinin disease,