Transfusion

#11

Case 1

A 79-year-old woman with palliative high-risk myelodysplastic syndrome is receiving a red cell transfusion for symptomatic anaemia. You are asked to see her by the nursing staff 30 minutes after starting the transfusion concerned about a fever (temperature 38.5oC). She is otherwise well and denies any breathlessness or rash. Her temperature before starting the transfusion was 37.2oC.

Question 1

What is the differential diagnosis?

Question 2

What investigations are necessary, if any?

Question 3

Outline your management of the patient

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