Case 39

1. Presented by Eric A. Gehrie, MD and prepared by Lorraine N. Blagg, MA, MLS(ASCP)SBB

Clinical Vignette

An O positive elderly patient was readmitted due to worsening symptoms from pneumonia. Six days later, the patient received two apheresis platelet transfusions from the same donor for a procedure. The patient received the entire first platelet product and 90% of the second unit when the patient experienced nausea and vomiting, headache, chills/rigors, chest pain and back pain. The patient's temperature increased from 35.9C pre transfusion to 37.3C post transfusion, blood pressure increased from 110/54 to 145/80, oxygen saturation remained stable, and there was no presence of rash, hives, or itching. A transfusion reaction was reported to the transfusion service.

The clerical check was correct, the remaining platelet product had a gram stain, aerobic, and anaerobic culture prepared. The microbiology laboratory reported the gram stain as positive with gram-negative cocci in clusters.

Question:


Who should be immediately notified?

 

29 thoughts on “Case 39”

  1. Thanks for your thoughts. One thing I’ve got noticed is the fact that banks in addition to financial institutions understand the spending routines of consumers as well as understand that most people max out their real credit cards around the getaways. They correctly take advantage of this specific fact and commence flooding your inbox along with snail-mail box having hundreds of Zero APR credit card offers shortly after the holiday season comes to an end. Knowing that for anyone who is like 98 in the American general public, you’ll hop at the possiblity to consolidate personal credit card debt and move balances to 0 interest rates credit cards.

  2. This is the right blog for everyone who wants to find out about this
    topic. You know a whole lot its almost hard to argue
    with you (not that I personally would want to…HaHa). You definitely put
    a fresh spin on a topic that has been written about for
    many years. Wonderful stuff, just wonderful!

  3. You really make it seem so easy with your
    presentation but I find this topic to be really something that I think I would never understand.
    It seems too complex and very broad for me. I’m looking forward for
    your next post, I will try to get the hang of it!

Leave a Reply

Your email address will not be published. Required fields are marked *