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Delayed-Onset Autoimmune Hemolytic Anemia in Advanced HIV With Cerebral Toxoplasmosis
Mohammed F Alahmadi1, Oweida Aldosary2, Amer Bugnah3
1Department of Internal Medicine, King Saud Medical City, Riyadh, SAU.
Cureus
|April 17, 2026
Summary
Autoimmune hemolytic anemia (AIHA) is a rare complication of human immunodeficiency virus (HIV). This case highlights delayed-onset AIHA occurring late in hospitalization, even with partial immune recovery.
Area of Science:
- Immunology
- Hematology
- Infectious Diseases
Background:
- Autoimmune hemolytic anemia (AIHA) is an uncommon complication of human immunodeficiency virus (HIV) infection.
- Anemia in HIV is typically multifactorial, with AIHA often reported early in the disease course or around antiretroviral therapy initiation.
- Delayed-onset AIHA during prolonged hospitalization, especially in advanced immunosuppression, is rarely described.
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