Autoimmune Hemolytic Anemia in Chronic Liver Disease following COVID-19 Episode.

ABSTRACT

This report describes a case of Autoimmune Hemolytic Anemia that was possibly induced by COVID-19 in a patient with history of Chronic Liver Disease and Diabetes Mellitus. Autoimmune responses like hemolytic anemia are known to be triggered by viral infections. COVID-19 is reported to be inducing Autoimmune Hemolytic Anemia in susceptible individuals. This is a case report of a 65 year old male with history of chronic alcoholism, who tested positive for COVID-19 infection which was treated as per protocols and was uncomplicated at the time of discharge. After about three months he presented with complaints of breathlessness which on laboratory evaluation revealed Direct Coombs test positive hemolytic anemia. Anemia improved with blood transfusion and steroid administration but patient eventually developed hepatorenal syndrome and expired.