Neoehrlichiosis Causing Hemolytic Anemia in Patients Treated with Rituximab, Norway, 2024-2025.

Emerg Infect DisSep 1, 2026

Martin Paulson, Christine Wennerås, Hanne Quarsten et al.

✦ AI-curated · Sources linked

Case in brief

Three rituximab-treated patients in Norway presented with direct antiglobulin test-negative hemolytic anemia due to Neoehrlichia mikurensis infection. Symptoms included splenomegaly and night sweats, with hemolysis severity varying from mild to severe, necessitating transfusions and splenectomy in one case. All patients achieved complete resolution of symptoms following a 21-day doxycycline treatment.

Diagnostic / clinical pearl

Neoehrlichiosis should be considered as a potential cause of hemolytic anemia in patients treated with rituximab, especially in endemic regions.

Source

Published in Emerg Infect Dis. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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