Case report and strategies to mitigate passive hemolysis with platelet transfusions in children.

Autor: Augustine M; Division of Transfusion Medicine, Malabar Cancer Centre, Thalassery, Kerala, India., Murugesan M; Division of Transfusion Medicine, Malabar Cancer Centre, Thalassery, Kerala, India., Gopakumar KG; Division of Pediatric Oncology, Malabar Cancer Centre, Thalassery, Kerala, India., Jithin TK; Division of Pediatric Oncology, Malabar Cancer Centre, Thalassery, Kerala, India.
Jazyk: angličtina
Zdroj: Asian journal of transfusion science [Asian J Transfus Sci] 2021 Jul-Dec; Vol. 15 (2), pp. 229-232. Date of Electronic Publication: 2021 Nov 01.
DOI: 10.4103/ajts.ajts_25_21
Abstrakt: Mismatched platelet concentrate transfusion due to inadequately maintained inventories is relatively common and in most instances do not cause any untoward event in adults. The cases of passive hemolysis following a mismatched apheresis platelet transfusion are common but are relatively rare with platelet concentrates. We report here a case of a nine year old boy who received three units of mismatched platelet concentrates(PC) followed by acute hemolysis. On further investigation, one of the donors of the PC, who was typed as O positive, found to have high anti-A and anti-B titres of 1:128. This highlights the importance of matched platelet transfusions or modifying the product in pediatric setting, who are susceptible for passive hemolysis.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2021 Asian Journal of Transfusion Science.)
Databáze: MEDLINE