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Tn‐activation with Acquired A‐like Antigen
Author(s) -
Berman H. J.,
Smarto J.,
Issitt C. H.,
Issitt P. D.,
Marsh W. L.,
Jensen L.
Publication year - 1972
Publication title -
transfusion
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.045
H-Index - 132
eISSN - 1537-2995
pISSN - 0041-1132
DOI - 10.1111/j.1537-2995.1972.tb00020.x
Subject(s) - sialic acid , antigen , proteus mirabilis , serology , red cell , red blood cell , immunology , proteus , medicine , hemolysis , microbiology and biotechnology , chemistry , biology , biochemistry , antibody , escherichia coli , gene
The red blood cells of Mr. R. W., an 86‐year‐old type O patient with Proteus mirabilis wound infection, anemia, and thrombocytopenia were found to be polyagglutinable due to Tn‐activation, to be agglutinated by and to absorb anti‐A, and to have a reduced sialic acid level probably as a result of enzyme modification in vivo . The reaction with anti‐A was inhibited by blood group A substance. It is possible that both Tn‐activation and acquisition of A‐like antigen were changes induced by Proteus infection but, if so, the changes persisted after the bacterial infection was cured. The red blood cell modification in this patient has features in common with others in whom T‐ or Tn‐activation, reduced sialic acid levels, or acquired B antigens have been found. Various abnormalities of the red blood cell membrane are discussed and clinical, serological, and physicochemical findings are compared.