گزارش يك مورد بيمار داراي آگلوتينين‌هاي متعدد قوي سرد و گرم با اهميت باليني

A case report of a patient with multiple warm and cold agglutinin with strong clinical importance

Abstract Background and Objectives The unexpected alloantibodies are usually found in the sera of those patients who have a history of blood transfusion and pregnancy. These alloantibodies cause many complications in patients with post-transfusion delayed hemolytic transfusion reactions. Case A 24-year-old man with melana, blood vomiting, and the history of discopathy and consumption of moleksicam was observed. In laboratory tests, incompatibility of the cross-match test and discrepancy of blood grouping were observed. In the analysis of the antibody screening, positive reactions were observed with all of the cells in different phases of panels 3 and 11. On the next visit, similar results were obtained after 6 months. Conclusions If indicated for blood transfusion, only autologous blood is recommended to be administered to prevent hemolytic transfusion reactions.