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Arch Intern Med. 2001;161:1347-1348.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Report of a Case

A 69-year-old woman was admitted to our medical intensive care unit for septic shock and multiple organ failure combined with thrombotic microangiopathy. The patient was of Vietnamese and Malagasy ethnic origin without any recent travel. Her medical history consisted of recurrent episodes of autoimmune IgG–mediated hemolytic anemia with thrombocytopenia and mild acute renal failure. At this time the results of viral serologic tests (human immunodeficiency virus [HIV] and hepatitis B and C), immunological tests (antinuclear antibodies and rheumatoid factor), and an electrophoresis of plasma proteins were negative. The findings from a bone marrow aspirate were normal. No specific cause was found, and the patient spontaneously improved.

Three weeks before hospital admission in our medical intensive care unit, she was hospitalized in an internal medicine unit for fever, diarrhea, abdominal pain, and cough. Laboratory findings showed microangiopathic hemolytic anemia, thrombocytopenia, lupus anticoagulant, and a monoclonal IgM lambda gammopathy, without hypogammaglobulinemia. The . . . [Full Text of this Article]

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