A case of ABO-incompatible blood transfusion treated by plasma exchange therapy and continuous hemodiafiltration

ABO-incompatible blood transfusion is potentially a life-threatening event. A 74-year-old type O Rh-positive male was accidentally transfused with 280 mL type B Rh-positive red blood cells during open right hemicolectomy, causing ABO-incompatible blood transfusion. Immediately after the transfusion,...

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Autores principales: Namikawa, Akio, Shibuya, Yuko, Ouchi, Haruki, Takahashi, Hiroko, Furuto, Yoshitaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Japan 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5886938/
https://www.ncbi.nlm.nih.gov/pubmed/29383577
http://dx.doi.org/10.1007/s13730-018-0307-4
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author Namikawa, Akio
Shibuya, Yuko
Ouchi, Haruki
Takahashi, Hiroko
Furuto, Yoshitaka
author_facet Namikawa, Akio
Shibuya, Yuko
Ouchi, Haruki
Takahashi, Hiroko
Furuto, Yoshitaka
author_sort Namikawa, Akio
collection PubMed
description ABO-incompatible blood transfusion is potentially a life-threatening event. A 74-year-old type O Rh-positive male was accidentally transfused with 280 mL type B Rh-positive red blood cells during open right hemicolectomy, causing ABO-incompatible blood transfusion. Immediately after the transfusion, the patient experienced a hypotension episode followed by acute hemolytic reaction, disseminated intravascular coagulation and acute kidney injury. Plasma exchange therapy was performed to remove anti-B antibody and free hemoglobin because they caused acute hemolytic reaction, disseminated intravascular coagulation, and acute kidney injury. Free hemoglobin levels decreased from 13 to 2 mg/dL for 2 h. Continuous hemodiafiltration was used to stabilize hemodynamics. The patient was successfully treated for acute hemolytic reaction, disseminated intravascular coagulation, and acute kidney injury. Plasma exchange therapy and continuous hemodiafiltration are likely to be effective treatments for ABO-incompatible blood transfusion, and further studies are required to assess this effectiveness in future.
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spelling pubmed-58869382018-04-12 A case of ABO-incompatible blood transfusion treated by plasma exchange therapy and continuous hemodiafiltration Namikawa, Akio Shibuya, Yuko Ouchi, Haruki Takahashi, Hiroko Furuto, Yoshitaka CEN Case Rep Case Report ABO-incompatible blood transfusion is potentially a life-threatening event. A 74-year-old type O Rh-positive male was accidentally transfused with 280 mL type B Rh-positive red blood cells during open right hemicolectomy, causing ABO-incompatible blood transfusion. Immediately after the transfusion, the patient experienced a hypotension episode followed by acute hemolytic reaction, disseminated intravascular coagulation and acute kidney injury. Plasma exchange therapy was performed to remove anti-B antibody and free hemoglobin because they caused acute hemolytic reaction, disseminated intravascular coagulation, and acute kidney injury. Free hemoglobin levels decreased from 13 to 2 mg/dL for 2 h. Continuous hemodiafiltration was used to stabilize hemodynamics. The patient was successfully treated for acute hemolytic reaction, disseminated intravascular coagulation, and acute kidney injury. Plasma exchange therapy and continuous hemodiafiltration are likely to be effective treatments for ABO-incompatible blood transfusion, and further studies are required to assess this effectiveness in future. Springer Japan 2018-01-31 /pmc/articles/PMC5886938/ /pubmed/29383577 http://dx.doi.org/10.1007/s13730-018-0307-4 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Namikawa, Akio
Shibuya, Yuko
Ouchi, Haruki
Takahashi, Hiroko
Furuto, Yoshitaka
A case of ABO-incompatible blood transfusion treated by plasma exchange therapy and continuous hemodiafiltration
title A case of ABO-incompatible blood transfusion treated by plasma exchange therapy and continuous hemodiafiltration
title_full A case of ABO-incompatible blood transfusion treated by plasma exchange therapy and continuous hemodiafiltration
title_fullStr A case of ABO-incompatible blood transfusion treated by plasma exchange therapy and continuous hemodiafiltration
title_full_unstemmed A case of ABO-incompatible blood transfusion treated by plasma exchange therapy and continuous hemodiafiltration
title_short A case of ABO-incompatible blood transfusion treated by plasma exchange therapy and continuous hemodiafiltration
title_sort case of abo-incompatible blood transfusion treated by plasma exchange therapy and continuous hemodiafiltration
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5886938/
https://www.ncbi.nlm.nih.gov/pubmed/29383577
http://dx.doi.org/10.1007/s13730-018-0307-4
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