An infant with hydrops fetalis inadvertently received a large transfusion (35 ml/ kg) of apparent heterozygous hemoglobin S (sickle trait) blood. Massive splenic infarction and acute renal failure, secondary to multiple hemorrhagic renal in farctions, developed.
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References
1.
Kaufman M., Steier W., Applewhaite F.: Sickle cell trait in blood donors. Am J Med Sci249:56, 1965
2.
Veiga S., Vaithianathan T.: Massive intravascular sickling after exchange transfusion with sickle-cell trait blood. Transfusion3:387, 1963
3.
Murphy RJ, Malhotra C., Sweet AY: Death following an exchange transfusion with hemoglobin SC blood. J Pediatr96:110, 1980
4.
Oski FA, Naiman JL: Hematologic Problems in the Newborn. Second edition. Philadelphia, WB Saunders , 1972, p 153
5.
Pietra CG: Pathology of erythroblastosis. Isoimmunization and Erythroblastosis . Edited by AG Charles, EA Friedman.New York, Appleton-Century-Crofts, 1969, p 28
6.
Hambleton G. , Wigglesworth JS: Origin of intraventricular hemorrhage in the preterm infant. Arch Dis Child51:651, 1976
7.
Sears DA: The morbidity of sickle cell trait, a review of the literature. Am J Med64:1021, 1978
8.
Lewis EL, Ross JR, Cohn JH: Hematuria and sickle cell disorders. South Med J70:432, 1977
9.
Mostofi FK, Vorder-Breugge CF, Diggs LW: Lesions in kidneys removed for unilateral hematuria due to heterozygous sickle cell disease. Arch Pathol63:336, 1957
10.
Stock AE: Splenic infarction associated with high altitude flying and sickle cell trait . Ann Intern Med44:554, 1956
11.
Karayalcin G.: Sickle cell anemia in the neonatal period . South Med J72:492, 1979
