A 10 year old girl was hospitalized because her urine had a…

A 10 year old girl was hospitalized because her urine had a distinct red color. The patient had recently recovered from an upper respiratory infection and appeared very pale and lethargic. Tests were performed with the following results: Hemoglobin: 5 g/dL Reticulocyte count: 15% DAT: weak reactivity with poly-specific and anti-C3; anti-IgG was negative Antibody screen: negative Donath-Landsteiner test: positive; QC passed That patient probably has: