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Transfusion-Associated HIV Infection in Pediatric Leukemia Patients (Two Case Reports)

BACKGROUND: Leukemia is the second most malignant tumor in children. The chemotherapy induced anemia (CIA) and hemorrhage are the most popular side-effects due to the myelosuppression of chemotherapy. So far, multitransfusion is still the timely and effective measure in curing these complications. T...

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Autores principales: Chen, Xuejun, Zhou, Mingming, Ning, Botao, Song, Hua, Yang, Shilong, Tang, Yongmin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3564102/
https://www.ncbi.nlm.nih.gov/pubmed/23399547
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author Chen, Xuejun
Zhou, Mingming
Ning, Botao
Song, Hua
Yang, Shilong
Tang, Yongmin
author_facet Chen, Xuejun
Zhou, Mingming
Ning, Botao
Song, Hua
Yang, Shilong
Tang, Yongmin
author_sort Chen, Xuejun
collection PubMed
description BACKGROUND: Leukemia is the second most malignant tumor in children. The chemotherapy induced anemia (CIA) and hemorrhage are the most popular side-effects due to the myelosuppression of chemotherapy. So far, multitransfusion is still the timely and effective measure in curing these complications. The acquisition of HIV infection and subsequent development of AIDS by component transfusion from donors at risk is well known, and prognosis of HIV infection is particularly severe in patients with leukemia. CASE PRESENTATION: We report two leukemic cases that were infected with HIV through transfusion. The first patient was totally transfused with 16 U RBC, 20 U platelets and 820 ml fresh frozen plasma, and later test showed that his first used FFP carried the HIV. For the second 2 U RBC, 5 U platelets and 1500 ml fresh frozen plasma were transfused to her. Late test of her used blood products showed that the fourth RBC carried the HIV. Both results were confirmed by the local Center for Disease Control (CDC). They were not transfused before the diagnosis of leukemia. Their parents were healthy with negative HIV-Ab. CONCLUSION: Since the two leukemic patients suffered transfusion-associated HIV with poor prognosis, we must take more efforts to utilize blood products judiciously, manage blood donors, test blood samples etiologically, shorten HIV testing "window periods" and develop preventive vaccination against HIV to reduce the incidence as low as possible.
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spelling pubmed-35641022013-02-10 Transfusion-Associated HIV Infection in Pediatric Leukemia Patients (Two Case Reports) Chen, Xuejun Zhou, Mingming Ning, Botao Song, Hua Yang, Shilong Tang, Yongmin Iran J Pediatr Case Report BACKGROUND: Leukemia is the second most malignant tumor in children. The chemotherapy induced anemia (CIA) and hemorrhage are the most popular side-effects due to the myelosuppression of chemotherapy. So far, multitransfusion is still the timely and effective measure in curing these complications. The acquisition of HIV infection and subsequent development of AIDS by component transfusion from donors at risk is well known, and prognosis of HIV infection is particularly severe in patients with leukemia. CASE PRESENTATION: We report two leukemic cases that were infected with HIV through transfusion. The first patient was totally transfused with 16 U RBC, 20 U platelets and 820 ml fresh frozen plasma, and later test showed that his first used FFP carried the HIV. For the second 2 U RBC, 5 U platelets and 1500 ml fresh frozen plasma were transfused to her. Late test of her used blood products showed that the fourth RBC carried the HIV. Both results were confirmed by the local Center for Disease Control (CDC). They were not transfused before the diagnosis of leukemia. Their parents were healthy with negative HIV-Ab. CONCLUSION: Since the two leukemic patients suffered transfusion-associated HIV with poor prognosis, we must take more efforts to utilize blood products judiciously, manage blood donors, test blood samples etiologically, shorten HIV testing "window periods" and develop preventive vaccination against HIV to reduce the incidence as low as possible. Tehran University of Medical Sciences 2012-09 /pmc/articles/PMC3564102/ /pubmed/23399547 Text en © 2012 Iranian Journal of Pediatrics & Tehran University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Case Report
Chen, Xuejun
Zhou, Mingming
Ning, Botao
Song, Hua
Yang, Shilong
Tang, Yongmin
Transfusion-Associated HIV Infection in Pediatric Leukemia Patients (Two Case Reports)
title Transfusion-Associated HIV Infection in Pediatric Leukemia Patients (Two Case Reports)
title_full Transfusion-Associated HIV Infection in Pediatric Leukemia Patients (Two Case Reports)
title_fullStr Transfusion-Associated HIV Infection in Pediatric Leukemia Patients (Two Case Reports)
title_full_unstemmed Transfusion-Associated HIV Infection in Pediatric Leukemia Patients (Two Case Reports)
title_short Transfusion-Associated HIV Infection in Pediatric Leukemia Patients (Two Case Reports)
title_sort transfusion-associated hiv infection in pediatric leukemia patients (two case reports)
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3564102/
https://www.ncbi.nlm.nih.gov/pubmed/23399547
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