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Published on: August 6, 2020
Two cases of transfusion-transmitted Anaplasma phagocytophilum
Kyle Annen1, Kenneth Friedman, Camellia Eshoa
1BloodCenter of Wisconsin, Milwaukee, 53233, USA.
Abstract:
Anaplasma phagocytophilum, the causative agent of human granulocytic anaplasmosis, is an obligate intracellular bacterium most commonly acquired from tick bites. High seroprevalence rates in endemic regions suggest that transfusion transmission of A phagocytophilum would be a common event; however, only 2 cases have previously been reported. The exact cause of this discrepancy is not known. Whole blood leukocyte-reduction methods used by many blood centers are thought to reduce the risk of transfusion transmission of many pathogens, including A phagocytophilum. We report 2 additional cases of transfusion-transmitted A phagocytophilum in which leukocyte reduction of all transfused units failed to prevent microbial transmission.
Insights
Transfusion transmission of Anaplasma phagocytophilum, a tick-borne illness, is rare despite high prevalence. Leukocyte reduction filtration did not prevent transmission in two reported cases of human granulocytic anaplasmosis.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Anaplasma phagocytophilum causes human granulocytic anaplasmosis, typically transmitted by ticks.
- High seroprevalence suggests frequent transfusion transmission, yet few cases are documented.
Observation:
- Two new cases of Anaplasma phagocytophilum transfusion transmission are reported.
- Leukocyte reduction filtration of blood products did not prevent transmission in these instances.
Findings:
- Leukocyte reduction, a common blood safety measure, may not fully prevent Anaplasma phagocytophilum transmission.
- The discrepancy between expected and reported transfusion transmission rates remains unexplained.
Implications:
- Re-evaluation of blood safety protocols for Anaplasma phagocytophilum may be necessary.
- Further research is needed to understand transmission dynamics and optimize prevention strategies.
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