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Updated: May 12, 2026

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
Published on: March 14, 2017
Numerous granulocyte transfusions to a patient with severe aplastic anemia without severe complication
Ikbal Ok Bozkaya1, Abdurrahman Kara, Nese Yarali
1Department of Pediatric Hematology, Ankara Children's Hematology Oncology Training and Research Hospital, Ankara, Turkey. ikbalok@yahoo.com
Abstract:
One of the most important morbidity causes of aplastic anemia is invasive fungal infections. It could not be possible to take control of infection without neutrophils despite the recent developments in the antifungals. In this presented case, a patient with severe aplastic anemia, granulocyte transfusion were administered as 46 times because of the presence of widely invasive aspergillosis and resistance. Only fever reaction was observed as a complication of transfusion amongst the other complications such as acute lung damage, alloimmunisation, and graft-versus-host disease. Granulosit transfusions should not be avoided in patients who had an indication for.
Insights
Granulocyte transfusions are crucial for managing invasive fungal infections in severe aplastic anemia patients, even with antifungal resistance. This case study highlights their safety and efficacy, with only mild fever as a complication.
Area of Science:
- Hematology
- Infectious Diseases
- Oncology
Background:
- Invasive fungal infections (IFIs) are a major cause of morbidity in aplastic anemia.
- Neutrophils are critical for controlling IFIs, but their levels are severely reduced in aplastic anemia.
- Antifungal therapies alone are often insufficient for IFIs in immunocompromised patients.
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