Abstract
Abstract Evans syndrome (ES) is a combined presentation of immune thrombocytopenia along with autoimmune hemolytic anemia with a positive direct antihuman globulin test. Approximately half of the cases of ES may be secondary to diverse causes, including infections, systemic autoimmune, transplantation, and lymphoproliferative syndromes. We discuss a 53-year-old male who came with complaints of low-grade fever, breathlessness, and cough and was found to have low hemoglobin levels and reduced platelet count. His Coomb’s test was positive, and his chest X-ray suggested pneumonia. The serum nucleic acid amplification test was positive for mycoplasma. A diagnosis of atypical pneumonia with ES was confirmed.
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