A female patient with delayed haemolytic transfusion reaction due to a
nti-M antibody is described, Diagnosis was based on laboratory evidenc
e of haemolysis and on characteristic serological findings. Anti-hi wa
s detected in the recipient's serum 7 d after the last transfusion epi
sode. This alloantibody had not been present in the pretransfusion ser
um. In addition, the direct antiglobulin test was positive on post-tra
nsfusion testing and the implicated antibody was eluted from post-tran
sfused red cells. Delayed haemolytic transfusion reactions have long b
een recognized as a potential hazard of transfusion therapy, but such
cases due to anti-M are extremely rare.