{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:28:42Z","timestamp":1790270922152,"version":"4.1.0"},"reference-count":11,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Drug\u2010induced immune hemolytic anemia (DIIHA) is a rare but potentially life\u2010threatening condition resulting from destruction of red blood cells (RBCs) following drug exposure. Although the precise incidence is difficult to ascertain because of under\u2010diagnosis and under\u2010reporting, estimates suggest an annual incidence of 1 in 1 million. This may be because often only patients with dramatic or severe hemolysis typically undergo comprehensive immunohematologic evaluation, including diagnostic drug testing. In patients receiving blood transfusions, making a diagnosis can be even more challenging as hemolysis may be complicated by concurrent alloimmunization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report<\/jats:title>\n                    <jats:p>We present the case of a 51\u2010year\u2010old female with recently identified anti\u2010E and anti\u2010M alloantibodies who developed severe hemolytic anemia 3\u2009days after blood transfusion, ultimately leading to multi\u2010organ failure and death. Although initially suspected to be due to a delayed hemolytic transfusion reaction, further immunohematology testing confirmed ceftriaxone\u2010induced immune hemolytic anemia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights how DIIHA can be masquerading as a delayed hemolytic transfusion reaction, underscoring the importance of considering DIIHA as a differential diagnosis, especially in patients receiving commonly implicated drugs, so that they can be promptly discontinued to avoid adverse outcomes. Confirmatory testing can be done and is usually available at an immunohematology reference laboratory.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/trf.70222","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T06:40:09Z","timestamp":1775889609000},"page":"1444-1448","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Drug\u2010induced hemolytic anemia due to ceftriaxone in a patient with recently identified alloantibodies: A diagnostic challenge"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0445-5515","authenticated-orcid":false,"given":"Kavya","family":"Balusu","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Rochester General Hospital  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed\u2010Usman","family":"Ehsanullah","sequence":"additional","affiliation":[{"name":"Department of Hematology\/Oncology Rochester General Hospital  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Olejniczak","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine Rochester General Hospital  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Bensing","sequence":"additional","affiliation":[{"name":"Immunohematology Reference Laboratory Versiti Blood Center of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Pugh","sequence":"additional","affiliation":[{"name":"Immunohematology Reference Laboratory Versiti Blood Center of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Puca","sequence":"additional","affiliation":[{"name":"Immunohematology Reference Laboratory Versiti Blood Center of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacquelyn","family":"Choate","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine Rochester General Hospital  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1182\/asheducation-2009.1.73"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.21307\/immunohematology-2019-098"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/voxs.12469"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.1991.31291142951.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2011.03321.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.blre.2010.06.004"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinpr.2024.100341"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2011.08784.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40360-018-0257-7"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2011.03321.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2007.01173.x"}],"container-title":["Transfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/trf.70222","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/trf.70222","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/trf.70222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:49:52Z","timestamp":1783651792000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/trf.70222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,10]]},"references-count":11,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/trf.70222"],"URL":"https:\/\/doi.org\/10.1111\/trf.70222","archive":["Portico"],"relation":{},"ISSN":["0041-1132","1537-2995"],"issn-type":[{"value":"0041-1132","type":"print"},{"value":"1537-2995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,10]]},"assertion":[{"value":"2025-12-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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