Abstract
A 54-year-old woman with hepatitis C cirrhosis, status post deceased-donor orthotopic liver transplant 14 days ago, returns for outpatient follow-up with complaints of excessive fatigue, lightheadedness, and dyspnea on exertion. The patient had experienced an uneventful postoperative course and was discharged from the hospital in good condition on postoperative day #4. Laboratory studies show that the hemoglobin (Hgb) has decreased from 9.1 (hospital discharge) to 5.1 g/dL. A type and screen sample (ethylenediaminetetraacetic acid [EDTA] anticoagulant) and a request for two units of red blood cells (RBCs) are submitted to the blood bank.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Peck JR, Elkhammas EA, Li F, Stanich PP, Latchana N, Black S, Michaels A. Passenger lymphocyte syndrome: a forgotten cause of postliver transplant jaundice and anemia. Exp Clin Transplant 2015;13(2):200–202.
De Bruijn S, Philipse E, Couttenye MM, Bracke B, Ysebaert D, Michielsenet P, et al. Passenger lymphocyte syndrome (PLS): a single-center retrospective analysis of minor ABO-incompatible liver transplants. J Clin Transl Hepatol. 2017;5(1):9–15.
Cserti-Gazdewich CM, Waddell TK, Singer LG, Chaparro C, Pendergrast JM, Hawes J, et al. Passenger lymphocyte syndrome with or without immune hemolytic anemia in all Rh-positive recipients of lungs from rhesus alloimmunized donors: three new cases and a review of the literature. Transfus Med Rev. 2009;23(2):134–45.
Recommended Reading
Cserti-Gazdewich CM, Waddell TK, Singer LG, Chaparro C, Pendergrast JM, Hawes J, et al. Passenger lymphocyte syndrome with or without immune hemolytic anemia in all Rh-positive recipients of lungs from rhesus alloimmunized donors: three new cases and a review of the literature. Transfus Med Rev. 2009;23(2):134–45.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Friedman, M.T., West, K.A., Bizargity, P., Annen, K., Jhang, J.S. (2018). Passengers and Hitchhikers. In: Immunohematology and Transfusion Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-90960-8_32
Download citation
DOI: https://doi.org/10.1007/978-3-319-90960-8_32
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-90959-2
Online ISBN: 978-3-319-90960-8
eBook Packages: MedicineMedicine (R0)