4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
I would like to know how can I manage a case of autoimmune haemolytic anemia (agglutinin cold antibodies)? The patient is one year old, her hemoglobin is 7 gm%, her blood group is AB+ which isn`t compatible with the same blood groups in our bank.
Answer
1. The primary cause for AIHA needs to be ascertained. Treating the primary cause, may relieve the child of the hemolytic process. Cold agglutinin hemolytic anemia is usually secondary to some infection.


2. If the haemoglobin is 7 gms and stable, transfusion may not be indicated.


3. If the hemoglobin shows a dropping trend, with levels falling below 5 gms, then I would transfuse under cover of steroids with the least compatible blood unit. There is bound to be difficulty in cross matching, hence we use the least compatible unit on cross matching.
 
 
 
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Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
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