Picture This: Hemolysis in the NICU
Brian R. Branchford, MD; Joanne Hilden, MD; Katherine A. Minson, MD
A 20-day-old female baby, formerly a 34-week premature infant in the NICU, presents with decreased hemoglobin (7.1 g/dL), indirect hyperbilirubinemia (6.2 mg/dL), and reticulocytosis (9.5%) consistent with hemolytic anemia, but the remainder of the complete blood count (CBC) is normal. The baby has blood type A and the mother has type O. A direct antiblogulin test (DAT, direct Coombs) is negative. Ther is no evidence of blood loss on exam or previous imaging. The baby is hemodynamically stable, gaining weight, and weaning off supplemental oxygen therapy. Learn more about the case and take the quiz.

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