Background: A person with weak A antigen expression is presented. Objectives: The study aimed to reveal weak A antigen by different methods applied in laboratories. Materials and methods: The reaction of adsorption, agglutination, and inhibition of agglutination were performed at 4 °C, 10 °C, 13 °C, 20 °C, and 37 °C for 1-13 hrs and one-day incubation. The complement of the guinea pig was added to the heated serum to reveal hemolysis. Results: A person’s red blood cells reacted with commercial anti-B sera. Whereas anti-A and anti-B (reactive at 37 °C) antibodies were found in the serum. The person demonstrated anti-A antibody adsorbing ability at 4 °C. The plasma of the person inhibited agglutination of A and B RBCs by polyclonal sera. The blood culture was positive for Proteus vulgaris infection. Conclusion: The presence of weak A antigen was detected the best by the adsorption method at low temperatures with polyclonal sera from the O blood group.
Read full abstract