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Febrile nonhemolytic transfusion reaction

Contents

  • 1 Background
  • 2 Clinical Features
  • 3 Differential Diagnosis
    • 3.1 Transfusion Reaction Types
    • 3.2 Acute allergic reaction
  • 4 Evaluation
  • 5 Management
  • 6 Disposition
  • 7 See Also
  • 8 External Links
  • 9 References

Background

  • Occurs in 20% of patients due to recipient Ab against donor leukocytes

Clinical Features

  • Fever, headache, myalgias, tachycardia, dyspnea, chest pain

Differential Diagnosis

Transfusion Reaction Types

  • Acute
    • Intravascular hemolytic tranfusion reaction
    • Febrile nonhemolytic tranfusion reaction
    • Allergic tranfusion reaction
    • Transfusion-associated circulatory overload (TACO)
    • Transfusion-related acute lung injury (TRALI)
    • Transfusion-associated graft-versus-host disease
    • Fluid overload
    • Sepsis
  • Delayed
    • Extravascular hemolytic tranfusion reaction
    • Graft-vs-host disease
    • Transfusion infections

Acute allergic reaction

  • Allergic reaction/urticaria
  • Anaphylaxis
  • Angioedema
  • Anxiety attack
  • Asthma exacerbation
  • Carcinoid syndrome
  • Cold urticaria
  • Contrast induced allergic reaction
  • Scombroid
  • Shock
  • Transfusion reaction

Evaluation

  • Rule out hemolysis - see transfusion reaction

Management

  • Stop tranfusion pending rule-out of hemolytic transfusion reaction
  • Give antipyretic
  • Restart transfusion once hemolytic transfusion reaction is ruled-out

Disposition

See Also

  • Transfusion reaction

External Links

References

Retrieved from "https://www.wikem.org/w/index.php?title=Febrile_nonhemolytic_transfusion_reaction&oldid=231256"
Category:
  • Heme/Onc
Authors:
  • Claire
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This page was last edited 00:30, 1 October 2019 by Claire. Donate