Exactly what Malcolm said about concentrations. When you treated the 2 sets of cells, did you follow the exact same procedure for both? (incubation time, temp, amount of DTT solution added, same concentration of DTT, number of washes, etc.) If there was any differences between the 2 sets, maybe that could account for the kell antigens not being destroyed. Try treating a larger aliquot of those cells at once, splitting them into 2 sets of tubes after treatment, then run one set against your anti-k reagent and the other against your patient anti-k. If your k antisera is still negative, and the patient anti-k is still positive, then your treatment works fine and you'll know there's some other antibody contaminate in your patient anti-k sample.