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A 41-Year-Old Multiparous Woman Was Rushed to the Emergency Room

Question 9

Multiple Choice

A 41-year-old multiparous woman was rushed to the emergency room after being shot in the chest. She received 8 units of packed red blood cells and 5 units of platelets. The hemoglobin and hematocrit determinations stabilized after 6 hours in surgery, but the platelet counts remained less than 50,000 per µL. She had received additional units of platelets at 48-hour intervals with little efficacy. Her serum was tested for platelet antibodies. She was placed on corticosteroids to control chest wound bleeding. Anti-PLA1 was identified in the patient's serum. This case is representative of what type of transfusion reaction?


A) Post-transfusion purpura
B) Circulatory overload
C) Graft-versus-host disease
D) Alloimmunization

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