HIV infection with haemolytic anaemia.

severe anaemia and uraemia. The patient had tested HIV antibody positive in early 1994 (his CD4 lymphocyte count was 0-24 x 109/1 at that time) and had probably acquired the infection heterosexually. He had remained asymptomatic since diagnosis and was seen in the out-patient clinic two weeks prior to admission after defaulting from the clinic for over a year. Routine blood tests on this visit indicated hyperkalaemia (6X1 mmol/l), anaemia (Hb 7X3 g/dl) and uraemia (urea 7X8 mmol/l, creatinine 152 pumol/l) with a CD4 count of 0. 184 x 109/1. He also complained of