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[A transfusion-transmitted malaria case].

Zülal Ozkurt1, Serpil Erol, Ayten Kadanali

  • 1Atatürk Universitesi Tip Fakültesi, Klinik Bakteriyoloji ve infeksiyon Hastaliklan Anabilim Dali, Erzurum.

Mikrobiyoloji Bulteni
|May 20, 2005
PubMed
Summary

Transfusion-transmitted malaria, a rare complication, occurred in a patient who received blood from an endemic area donor. Careful donor screening is crucial for prevention as malaria diagnostic tests for donations are unavailable.

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Area of Science:

  • Infectious Diseases
  • Hematology
  • Public Health

Background:

  • Malaria is a significant, albeit rare, complication associated with blood transfusions.
  • This case report highlights a specific instance of transfusion-transmitted malaria.

Observation:

  • A 47-year-old female presented with fever, chills, diarrhea, and vomiting post-transfusion.
  • Physical examination revealed jaundice, splenomegaly, and abdominal tenderness.
  • Laboratory findings included anemia, elevated LDH and bilirubin, and Plasmodium vivax identified in blood films.

Findings:

  • The patient was successfully treated with chloroquine.
  • The blood donor had a history of military service in Southeast Anatolia, a malaria-endemic region.
  • The transmission route was confirmed as blood transfusion due to the patient's non-endemic location and lack of travel history.

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Implications:

  • This case underscores the risk of transfusion-transmitted malaria, particularly when donors originate from or have traveled to endemic areas.
  • The absence of approved malaria screening tests for donated blood necessitates stringent donor history evaluation.
  • Enhanced donor screening protocols are vital to prevent transfusion-transmitted malaria in non-endemic regions.