This is the second part of a two-part case; please see the prior post.
You confirm your diagnosis and begin treatment which is shown above (given as an IV bolus of 1-2mg/kg over 5 minutes). The patient does not get better after a few hours. In fact, he seems to get worse; he's more dyspneic. You decide to send another panel of labs, and when they come back, you note that the hemoglobin has dropped 3 points and the blood smear shows:
Challenge: What happened?
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