Acute Immune Intravascular Hemolysis due to Hydrochlorothiazide

Abstract
Acute near-fatal intravascular hemolysis and renal failure developed in a patient after he had ingested IS to 20 tablets of both methyldopa (Aldomet®) and hydrochlorothiazide (HydroDiuril®). Serologic test results were inconsistent with those associated with methyldopa-induced hemolytic anemia and suggested that hemolysis was caused by hydrochlorothiazide antibodies reacting by an immune complex mechanism.

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