Febrile nonhemolytic transfusion reaction
Background
- Occurs in 20% of patients due to recipient Ab against donor leukocytes
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
See Also
- Transfusion reaction
References
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