Re: haemolytic anemia with enlarged spleen
Typhoid can cause hemolytic anemia. Have you had stool culture and sensitivity or antibody testing for typhoid to see if you still have the infection? That would make sense to repeat treatment for it, making sure the bacteria is sensitive to the antibiotic used, and the antibiotic doesn't cause hemolytic anemia as well. Do you have diarrhea and other symptoms of typhoid still? Are you seeing an infectious disease DR? I hope you get some answers soon. It is true that in lupus the Coombs is usually positive.