Acute non-cardiogenic lung oedema after platelet transfusion

摘要

The commonest cause of lung oedema after transfusion of blood products is acute hypervolaemia leading to heart failure, especially in elderly anaemic patients. However, non-cardiogenic causes of lung oedema after transfusion, though less common, may result in considerable illness and in death, especially if they are not recognised and treated appropriately. One such cause is transfusion related acute lung injury, which is the second commonest immediate cause of death related to transfusion after acute haemolysis due to ABO incompatibility. We describe a case of transfusion related acute lung injury caused by incompatibility between two donors contributing to a pool of platelets given to our patient.