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Type: Artigo de periódico
Title: Bartonellosis as Cause of Death After Red Blood Cell Unit Transfusion
Author: Magalhaes, RF
Pitassi, LHU
Lania, BG
Barjas-Castro, ML
Velho, PENF
Abstract: The authors present the case of a young man with aplastic anemia who went into shock and died after several red blood cell unit transfusions. Immunohematological studies did not show any abnormality and blood cultures from patients and blood bags were negative. The ultrastructural findings, allied with current scientific knowledge, permitted the diagnosis of Bartonella sp. infection. In face of this diagnosis, two possibilities should be considered: the first one is that the patient was already infected by the bacteria before the last RBC unit transfusion. The pathogen could be involved in aplastic anemia etiology and in the failure to recover hemoglobin levels, in spite of the transfusions. The second possibility is that the RBC unit was contaminated with a Bartonella sp., which would have led to a state of shock, causing the death of the patient.
Subject: Bartonella
bartonella infections
erythrocyte transfusion
iatrogenic disease
Country: EUA
Editor: Taylor & Francis Inc
Citation: Ultrastructural Pathology. Taylor & Francis Inc, v. 33, n. 4, n. 151, n. 154, 2009.
Rights: fechado
Identifier DOI: 10.1080/01913120902785567
Date Issue: 2009
Appears in Collections:Unicamp - Artigos e Outros Documentos

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