Eyes Cannot See what the Mind Does not Know!

Abstract

We present a previously healthy female who presented with life-threatening bilateral pneumonia causing respiratory failure associated with severe hemolysis. Because of their endemicity in India, malaria, dengue, and leptospirosis top the list of differential diagnosis in such cases. However, we found an alternate cause.

Keywords

• autoimmune hemolytic anemia; bilateral pleural effusion; mycoplasma pneumonia; systemic steroids