4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
User name :
Password :
Blood Transfusion Disorders
Follow Us : Follow On Facebook Follow On Twitter Follow On Youtube
Specialist Answers
Question
12 year old boy proved B-0 Thalassemia admitted for mod to severe abdominal pain, fever of 102F and mild jaundice. Sonogram of Abdomen revealed biliary sludge ,enlarged gallbladder and of course significant splenohepatomegaly. Since Hb was 5 gms, he received packed cell Transfusion along with cefotaxime,amicacin and metronidazole. After the first Bl.Tr. he developed significant jaundice with Bil.of 30 mg also cola coloured urine, BUN is normal. Considered now to have severe intravascular hemolysis along with possible cholangitis. Request for comments. Thanks. DBD
Answer
Cola coloured urine is suggestive of intravascular hemolysis. BUN may be normal. Check the hemoglobin post transfusion (it would not have raised) and check the crossmatch of the blood bag given, was it of the same blood group? Do a DCT and haptoglobin levels. This is blood transfusion reaction. Please read the article on "ADMINISTRATION OF BLOOD" on - www.pediatriconcall.com -
 
 
 
Pedi Poll
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
Educational Section
 
Disclaimer:
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
 
copyright ©2011 website design & development by Levioza
Follow Us
Follow us on :
Folllow Us