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Pregnancy with a Severe Hemoglobinopathy : Unintended Consequences of Transfusions
Joint Authors
Mendez-Figueroa, Hector
Anderson, Brenna L.
Kim, David
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-01-27
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We report a case of a pregnant woman with a complex hemoglobinopathy who developed a symptomatic anemia at 28 weeks of gestation and was treated with multiple transfusions of type-specific packed red blood cells.
Shortly thereafter, she developed a fever and joint pains, along with laboratory values consistent with hemolysis.
Timing suggested a delayed transfusion reaction.
An extensive evaluation including red blood cell antigen identification and cross-reaction failed to reveal the cause for her hemolysis.
Despite her critically low hemoglobin levels, her transfusions were withheld in an attempt to allow the patient to recover conservatively.
With this strategy, her hemoglobin remained below her baseline, but her symptoms began to improve.
Her laboratory values normalized, and hemolysis was no longer evident.
Three weeks later, her hemoglobin levels returned back to her baseline without additional intervention.
She went on to deliver a full-term male infant.
American Psychological Association (APA)
Kim, David& Mendez-Figueroa, Hector& Anderson, Brenna L.. 2013. Pregnancy with a Severe Hemoglobinopathy : Unintended Consequences of Transfusions. Case Reports in Obstetrics and Gynecology،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-470170
Modern Language Association (MLA)
Kim, David…[et al.]. Pregnancy with a Severe Hemoglobinopathy : Unintended Consequences of Transfusions. Case Reports in Obstetrics and Gynecology No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-470170
American Medical Association (AMA)
Kim, David& Mendez-Figueroa, Hector& Anderson, Brenna L.. Pregnancy with a Severe Hemoglobinopathy : Unintended Consequences of Transfusions. Case Reports in Obstetrics and Gynecology. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-470170
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-470170