Reacción hemolítica transfusional tardía en un paciente con anemia de células falciformes: reporte de un caso

Sickle cell anemia was a rare disease in Chile, especially in adults, however the recent immigration wave from Haiti is changing this scenario. We report a 29 year old black female from Haiti with a non-disclosed history of sickle cell anemia. She was transfused with two units of red blood cells, fo...

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Autores principales: Moya,Felipe, Rivera,Mauricio, Araya,Fernando, Donoso,Javiera, Sandoval,Pablo, Varas,Pablo
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2018
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101347
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spelling oai:scielo:S0034-988720180011013472019-02-13Reacción hemolítica transfusional tardía en un paciente con anemia de células falciformes: reporte de un casoMoya,FelipeRivera,MauricioAraya,FernandoDonoso,JavieraSandoval,PabloVaras,Pablo Anemia, Hemolytic Anemia, Sickle Cell Duffy Blood-Group System Emigration and Immigration Sickle cell anemia was a rare disease in Chile, especially in adults, however the recent immigration wave from Haiti is changing this scenario. We report a 29 year old black female from Haiti with a non-disclosed history of sickle cell anemia. She was transfused with two units of red blood cells, found unconscious and with jaundice five days later and admitted to the hospital. On admission she had a hemoglobin of 3.3 g/dL, a total bilirubin of 5.08 mg/dL, a LDH of 1,306 Ui/L. She was transfused again, worsening her condition. An alloimmunization and delayed hemolytic reaction was suspected. A direct Coombs test was positive. She was treated with steroids and her serum hemoglobin rose progressively.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.11 20182018-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101347es10.4067/S0034-98872018001101347
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Anemia, Hemolytic
Anemia, Sickle Cell
Duffy Blood-Group System
Emigration and Immigration
spellingShingle Anemia, Hemolytic
Anemia, Sickle Cell
Duffy Blood-Group System
Emigration and Immigration
Moya,Felipe
Rivera,Mauricio
Araya,Fernando
Donoso,Javiera
Sandoval,Pablo
Varas,Pablo
Reacción hemolítica transfusional tardía en un paciente con anemia de células falciformes: reporte de un caso
description Sickle cell anemia was a rare disease in Chile, especially in adults, however the recent immigration wave from Haiti is changing this scenario. We report a 29 year old black female from Haiti with a non-disclosed history of sickle cell anemia. She was transfused with two units of red blood cells, found unconscious and with jaundice five days later and admitted to the hospital. On admission she had a hemoglobin of 3.3 g/dL, a total bilirubin of 5.08 mg/dL, a LDH of 1,306 Ui/L. She was transfused again, worsening her condition. An alloimmunization and delayed hemolytic reaction was suspected. A direct Coombs test was positive. She was treated with steroids and her serum hemoglobin rose progressively.
author Moya,Felipe
Rivera,Mauricio
Araya,Fernando
Donoso,Javiera
Sandoval,Pablo
Varas,Pablo
author_facet Moya,Felipe
Rivera,Mauricio
Araya,Fernando
Donoso,Javiera
Sandoval,Pablo
Varas,Pablo
author_sort Moya,Felipe
title Reacción hemolítica transfusional tardía en un paciente con anemia de células falciformes: reporte de un caso
title_short Reacción hemolítica transfusional tardía en un paciente con anemia de células falciformes: reporte de un caso
title_full Reacción hemolítica transfusional tardía en un paciente con anemia de células falciformes: reporte de un caso
title_fullStr Reacción hemolítica transfusional tardía en un paciente con anemia de células falciformes: reporte de un caso
title_full_unstemmed Reacción hemolítica transfusional tardía en un paciente con anemia de células falciformes: reporte de un caso
title_sort reacción hemolítica transfusional tardía en un paciente con anemia de células falciformes: reporte de un caso
publisher Sociedad Médica de Santiago
publishDate 2018
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101347
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