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Case Study A2 - Summary
 

TraQ Program of the BC PBCO

Thursday, 17 August 2017

Case Study A2 - Summary

HISTORY

Mr. F.S. is a 51 year old male diagnosed with recurrent carcinoma of the rectum that is invading the bladder. He was previously diagnosed in 1997 when he underwent a colostomy and post-op radiation. He has no history of transfusion at St. Paul’s Hospital.

OCTOBER 19 (ST. PAUL'S)

  • Group B Rh positive
  • Antibody screen negative by gel-IAT
  • Hemoglobin 140 g/L

OCTOBER 24 (ST. PAUL'S)

  • 4 units of RBC issued by electronic crossmatch and transfused in the O.R.
  • Post-operative hemoglobin 106 g/L
  • Hemoglobin slowly dropped to 88 g/L on the 7th day post-op.
  • No additional type and screen requests were received.
  • Patient discharged from St. Paul's Hospital on October 31st

NOVEMBER 4 (MSA)

Patient presents at MSA Hospital for blood work. History check reveals previous transfusion at MSA(October 1997).

  • Elevated WBC and platelet counts. Plasma urea and creatinine normal.
  • Hemoglobin 78 g/L
  • Crossmatch for 4 units requested

Results: Initial Serologic Tests

  • Antibody screen positive (3+)
  • DAT negative

Results: Follow-up Investigation

  • Anti-C and anti-Jka identified.

NOVEMBER 4 (ST. PAUL'S)

  • Patient phenotypes as D+C-E+c+e+ (probable R2r) Jk(a-) using pretransfusion specimen.

NOVEMBER 4 (MSA)

  • Mr. F.S. was crossmatched by gel-IAT with three units of C-Jk(a-) RBC.
  • All 3 units were transfused in the ambulant care ward at MSA Hospital.

 

Last modified on Wednesday, 15 December 2010 16:03