{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T20:32:59Z","timestamp":1784752379739,"version":"3.55.0"},"reference-count":11,"publisher":"SMC Media","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Influenza A can trigger rare haematologic complications such as immune thrombocytopenia (ITP) and haemolytic anaemia, most commonly in paediatric or immunocompromised populations. We describe a case of post-influenza immune cytopaenias in a previously healthy adult. Case description:\u00a0A 22-year-old male presented with fever, haematuria and malaise after influenza A infection. Laboratory workup revealed severe thrombocytopenia, anaemia (haemoglobin 11.7 g\/dl, haematocrit 34.1%), elevated reticulocyte count (3.7%, absolute 99 \u00d7109\/l), acute kidney injury (serum creatinine 2.44 mg\/dl), markedly elevated LDH (1,991 U\/l), ferritin (6,016 ng\/ml), low haptoglobin (&lt;30 mg\/dl) and iron saturation of 60%. A peripheral smear showed anisopoikilocytosis with fragmented red blood cells, including schistocytes. He was treated with oseltamivir and a four-day course of dexamethasone. Platelets normalised and renal function improved. Discussion:\u00a0The patient demonstrated an Evans-like presentation likely triggered by post-viral immune dysregulation. Although schistocytes raised concern for thrombotic microangiopathy (TMA), the absence of neurologic findings, progressive renal failure, and the need for plasma exchange or complement blockade made TMA unlikely. Unlike most similar reports requiring IVIG or plasmapheresis, this case resolved fully with steroids. Conclusion:\u00a0This case highlights the need to consider immune cytopaenias in otherwise healthy individuals following influenza A and supports early steroid intervention.<\/jats:p>","DOI":"10.12890\/2025_005829","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T08:55:04Z","timestamp":1761209704000},"source":"Crossref","is-referenced-by-count":1,"title":["Transient haemolytic anaemia and thrombocytopenia in a healthy young adult following influenza A infection"],"prefix":"10.12890","volume":"12","author":[{"given":"Haseeb","family":"Tareen","sequence":"first","affiliation":[{"name":"Henry Ford Allegiance Hospital, Jackson, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7057-9975","authenticated-orcid":false,"given":"Haris Bin","family":"Tahir","sequence":"first","affiliation":[{"name":"Lahore General Hospital, Lahore, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hafsa","family":"Ahmed","sequence":"first","affiliation":[{"name":"Mclaren Hospital, Oakland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahsun","family":"Rizwan Siddiqi","sequence":"first","affiliation":[{"name":"Henry Ford St. John Hospital, Detroit, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jahnavi","family":"Ethakota","sequence":"first","affiliation":[{"name":"Henry Ford St. John Hospital, Detroit, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakshi","family":"Bai","sequence":"first","affiliation":[{"name":"Henry Ford St. John Hospital, Detroit, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devin","family":"Malik","sequence":"first","affiliation":[{"name":"Henry Ford St. John Hospital, Detroit, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10397","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"10.12890\/2025_005829_ref1","doi-asserted-by":"crossref","unstructured":"Sellers SA, Hagan RS, Hayden FG, Fischer WA 2nd. 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