American National Red Cross
Subject: Medical Laboratory Technology
ISSN: 0894-203X
eISSN: 1930-3955
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Ashwini Bennett * / Ray K. Boyapati / Frank S. Hong
Keywords : Anti-Dia, transfusion reaction, low prevalence, alloantibodies
Citation Information : Immunohematology. Volume 31, Issue 4, Pages 163-165, DOI: https://doi.org/10.21307/immunohematology-2019-087
License : (Transfer of Copyright)
Published Online: 26-October-2019
Anti-Dia can mediate hemolytic disease of the fetus and newborn, but it is unclear if it can cause hemolytic transfusion reactions (HTRs). To date, there has only been one report of a possible immediate HTR attributed to anti-Dia. Our case report details an immediate HTR due to anti-Dia in a patient with pre-existing liver failure. This reaction triggered multi-organ failure, and the patient subsequently died. This case also highlights the importance of considering HTRs even when routine antibody screening has been unremarkable, particularly when electronic crossmatch is used, because of the potential for an alloantibody against a lowprevalence antigen.