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Tn‐activation with Acquired A‐like Antigen

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.