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Transfusion Malaria: Treatment With Exchange Transfusion After Delayed Diagnosis

Transfusion Malaria: Treatment With Exchange Transfusion After Delayed Diagnosis Abstract • A 65-year-old woman was rehospitalized for increasing mental confusion 16 days after open heart surgery for mitral stenosis. A diagnosis of transfusion-acquired falciparum malaria was made from a routine peripheral blood smear 24 hours after admission. Because progressive encephalopathy developed while she was receiving antimalarial drugs, a therapeutic exchange transfusion was performed. Clinical improvement occurred promptly during the exchange, and the patient went on to complete recovery from her malaria. The putative blood donor involved met the currently accepted standards for blood donors. (Arch Intern Med 1982;142:187-188) References 1. Lopez CE, Schultz MG: Incidence of transfusion malaria and standards for blood donor selection. J Infect Dis 1977;135:875-876.Crossref 2. Miller WV: Technical Manual of the American Association of Blood Banks . Washington, DC, American Association of Blood Banks, 1977, p 6. 3. American Red Cross Blood Services Directives, BPD No. 4.19, revised February 1978. 4. Fisher GV, Schultz MG: Unusual host-parasite relationship in blood-donors responsible for transfusion-induced falciparum malaria. Lancet 1969;2:716-718.Crossref 5. Joishy SK, Lopez CG: Transfusion-induced malaria in a splenectomized β-thalassemia major patient and a review of blood donor screening methods. Am J Hematol 1980;8:221-229.Crossref 6. Gyr K, Speck B, Ritz R, et al: Zerebrale malaria tropica mit schwarzwasserfieber. Schweiz Med Wochenschr 1974;104:1628-1630. 7. Roncoroni AJ, Martino OA: Therapeutic use of exchange transfusion in malaria. Am J Trop Med Hyg 1979;28:440-444. 8. Nielsen RL, Kohler RB, Chin W, et al: The use of exchange transfusions: A potentially useful adjunct in the treatment of fulminant falciparum malaria. Am J Med Sci 1979;277:325-329.Crossref 9. Kramer S, Mahoney L, Conwill DE: Imported Plasmodium falciparum malaria in a US physician—California. Morbidity and Mortality Weekly Report 1980;29:146-147. 10. Jacoby GA, Hunt JV, Kosinski KS, et al: Treatment of transfusion-transmitted babesiosis. N Engl J Med 1980;303:1098-1100.Crossref 11. Field JW: Blood examination and prognosis in acute falciparum malaria. Trans R Soc Trop Med Hyg 1949;43:33-48.Crossref 12. Lopez CE, Ruebush TK, Schultz MG: Occurrence of malaria acquired abroad among American civilians, 1970-1976. J Infect Dis 1979;139:255-260.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Transfusion Malaria: Treatment With Exchange Transfusion After Delayed Diagnosis

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340140189034
Publisher site
See Article on Publisher Site

Abstract

Abstract • A 65-year-old woman was rehospitalized for increasing mental confusion 16 days after open heart surgery for mitral stenosis. A diagnosis of transfusion-acquired falciparum malaria was made from a routine peripheral blood smear 24 hours after admission. Because progressive encephalopathy developed while she was receiving antimalarial drugs, a therapeutic exchange transfusion was performed. Clinical improvement occurred promptly during the exchange, and the patient went on to complete recovery from her malaria. The putative blood donor involved met the currently accepted standards for blood donors. (Arch Intern Med 1982;142:187-188) References 1. Lopez CE, Schultz MG: Incidence of transfusion malaria and standards for blood donor selection. J Infect Dis 1977;135:875-876.Crossref 2. Miller WV: Technical Manual of the American Association of Blood Banks . Washington, DC, American Association of Blood Banks, 1977, p 6. 3. American Red Cross Blood Services Directives, BPD No. 4.19, revised February 1978. 4. Fisher GV, Schultz MG: Unusual host-parasite relationship in blood-donors responsible for transfusion-induced falciparum malaria. Lancet 1969;2:716-718.Crossref 5. Joishy SK, Lopez CG: Transfusion-induced malaria in a splenectomized β-thalassemia major patient and a review of blood donor screening methods. Am J Hematol 1980;8:221-229.Crossref 6. Gyr K, Speck B, Ritz R, et al: Zerebrale malaria tropica mit schwarzwasserfieber. Schweiz Med Wochenschr 1974;104:1628-1630. 7. Roncoroni AJ, Martino OA: Therapeutic use of exchange transfusion in malaria. Am J Trop Med Hyg 1979;28:440-444. 8. Nielsen RL, Kohler RB, Chin W, et al: The use of exchange transfusions: A potentially useful adjunct in the treatment of fulminant falciparum malaria. Am J Med Sci 1979;277:325-329.Crossref 9. Kramer S, Mahoney L, Conwill DE: Imported Plasmodium falciparum malaria in a US physician—California. Morbidity and Mortality Weekly Report 1980;29:146-147. 10. Jacoby GA, Hunt JV, Kosinski KS, et al: Treatment of transfusion-transmitted babesiosis. N Engl J Med 1980;303:1098-1100.Crossref 11. Field JW: Blood examination and prognosis in acute falciparum malaria. Trans R Soc Trop Med Hyg 1949;43:33-48.Crossref 12. Lopez CE, Ruebush TK, Schultz MG: Occurrence of malaria acquired abroad among American civilians, 1970-1976. J Infect Dis 1979;139:255-260.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jan 1, 1982

References