Transient haemolytic anaemia and thrombocytopenia in a healthy young adult following influenza A infection

Influenza A can precipitate Evans-like immune cytopaenias even in previously healthy young adults, a population not typically considered at risk for such haematologic complications.The presence of schistocytes can raise concern for thrombotic microangiopathy, but the absence of progressive renal or neurologic involvement should prompt consideration of immune-mediated cytopaenias.Early recognition and corticosteroid initiation can result in complete recovery without intravenous immunoglobulin (IVIG), rituximab or plasmapheresis, underscoring the importance of maintaining diagnostic vigilance in post-viral cytopaenias.