From: Blood transfusion in severe dengue infection: a case series
No. | Patient details | Fever day of blood transfusion | Clinical and laboratory parameters at the time of blood transfusion | Immediate indication for the blood transfusion | Time taken to improve the clinical status | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
BP | PR | plt | Hct | WBC | SpO2 | Overt bleeding | ALT | AST | Lactate | |||||
1 | 34F | 4 | 88/65 | 94 | 23 | 34 | 2.6 | 98 | No | 42 | 109 | Dropping Hct in a DHF patient with clinical deterioration | 4 hours | |
2 | 46F | 4 | 100/60 | 88 | 42 | 31 | 1.2 | 98 | No | 64 | 52 | 4.5 | Dropping Hct in a DHF patient | 1 hour |
3 | 40M | 6 | 90/70 | 102 | 36 | 38 | 1.8 | 98 | No | 65 | 45 | 3.9 | Deteriorating patient with worsening acidosis with stable Hct | 2 hours |
4 | 24F | 5 | 110/60 | 88 | 22 | 33 | 2.6 | 98 | No | 300 | 326 | 3.1 | Rising transaminases with static Hct + acidosis | 12 hours |
5 | 12F | 5 | 120/80 | 80 | 17 | 21 | 1.6 | 96 | Yes | 56 | 87 | DF with gastrointestinal blood loss, severe anaemia | 4 hours | |
6 | 14M | 5 | 90/60 | 130 | 12 | 30 | 1.4 | 97 | Yes | 112 | 134 | DHF with diarrhea, shock, and dropping Hct and acidosis | 4 hours | |
7 | 53M | 5 | 110/70 | 100 | 12 | 37 | 2.3 | 98 | No | 11,100 | 27,220 | 5.8 | DHF with massive liver necrosis with stable Hct + acidosis | 10 hours |
8 | 40F | 4 | 100/70 | 88 | 28 | 35 | 1.1 | 99 | No | 6542 | 30,617 | 14.5 | DHF with massive liver necrosis with acute kidney injury and stable Hct + acidosis | 24 hours |
9 | 16F | 4 | 100/80 | 120 | 26 | 35 | 2.6 | 93 | No | 84 | 42 | 3.1 | DHF with myocarditis and low Hct | 12 hours |
10 | 36F | 7 | 120/70 | 54 | 52 | 31 | 1.6 | 85 | Yes | 64 | 49 | DHF with myocarditis + pulmonary hemorrhages + hypoxaemia, acidosis, low Hct | 12–24 hours |