Document Detail


Fatal TRALI associated with neutrophil antibodies in a recipient of pre-storage leukocyte-reduced blood components.
MedLine Citation:
PMID:  19687592     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
A 53-year-old man developed possible transfusion-related acute lung injury (TRALI) after red cell component transfusion. The patient developed autoimmune neutropenia with the expression of neutrophil antibodies. Neutrophil aggregation, endothelial damage, and development of a large thrombus containing platelets were observed post mortem in his pulmonary vessels. The patient also had subacute organizing pneumonia. He received blood components treated with universal pre-storage leuko-reduction. Even though leukocytes in the blood components are reduced to a few million by this process, TRALI can be fatal, as was the case for this recipient, who had subacute organizing pneumonia in conjunction with immune-mediated neutropenia.
Authors:
Kazuyoshi Ishii; Eiji Kadota; Michiomi Shimizu; Shosaku Nomura
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-08-17
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  48     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2009  
Date Detail:
Created Date:  2009-08-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1429-31     Citation Subset:  IM    
Affiliation:
Department of Hematology, Kishiwada City Hospital, Osaka. ishiikaz@silver.ocn.ne.jp
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