Delayed hemolytic transfusion reaction by anti-E alloantibody

Authors

  • Niurka Aurora Ali Perez Blood Center “Renato Guitart Rosell” in Santiago de Cuba. https://orcid.org/0000-0001-6483-2218
  • Ariel Arturo Matos Bayeau Blood Center “Renato Guitart Rosell” in Santiago de Cuba.
  • Marlene Rodríguez Ruiz Blood Center “Renato Guitart Rosell” in Santiago de Cuba.

Keywords:

alloantibody, sensitization, blood transfusion, delayed hemolytic transfusion reaction

Abstract

We present the case of a 47-year-old woman, blood group O Rh D positive, G4P2A2, with no transfusion history, which required surgical intervention due to bleeding uterine fibroma. The pretransfusional tests were compatible, transfusing two concentrates of red blood cells, without presenting clinical manifestations; after seven days, he presented a haemolytic crisis, with abrupt fall in hematological parameters, cutaneous-mucosal pallor and icterus. The immunohematological studies were positive; the patient's blood sample was incompatible with a son, husband and the transfused red blood cells. Six months later, an anti-E alloantibody (128 dilutions) was identified in the patient. It is concluded that the patient was alloimmunized during her pregnancies with an anti-E antibody, where the blood transfusion was the antigenic stimulus causing the late hemolytic transfusion reaction.

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Author Biographies

Niurka Aurora Ali Perez, Blood Center “Renato Guitart Rosell” in Santiago de Cuba.

2nd Degree Specialist in Clinical Laboratory field. Master degree in Communicable Diseases.

Ariel Arturo Matos Bayeau, Blood Center “Renato Guitart Rosell” in Santiago de Cuba.

Licentiate (Lic.) in Biology. Master degree in Biotechnology. Assistant teacher.

Marlene Rodríguez Ruiz, Blood Center “Renato Guitart Rosell” in Santiago de Cuba.

Licentiate (Lic.) in Transfusion Medicine

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Published

2019-03-19

How to Cite

1.
Ali Perez NA, Matos Bayeau AA, Rodríguez Ruiz M. Delayed hemolytic transfusion reaction by anti-E alloantibody. Rev Inf Cient [Internet]. 2019 Mar. 19 [cited 2025 Apr. 19];98(1):98-105. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/1886

Issue

Section

Case Reports