A. Johnny Atkinson, a 19-year-old dengue patient at Cagayan United Doctors’ Medical Center, complains that he had difficulty breathing after being transfused with one platelet concentrate unit. He also requested his mother to buy him some pain reliever for he is experiencing pain in his arm and back. His doctor immediately asks Marisol Panganiban, the medical technologist on duty, to collect blood samples from Johnny and perform necessary laboratory methods. CHEMISTRY Lactate 20mg/dL pO2 75mmHg Creatinine 1.5mg/dL Total bilirubin 2mg/dL Serum glucose 150mg/dL C3 3g/L ALP 90U/L AST 25U/L ALT 30U/L HEMATOLOGY RBC 5x1012/L WBC 12x109/L Platelet 100x109/L Hemoglobin 11g/dL Hematocrit 35% APTT 45seconds BACTERIOLOGY Gram stain Blue Catalase + Modified oxidase - Vogues-Proskauer + Physical appearance of colonies: Creamy yellow Antimicrobial Susceptibility test Bacitracin Lysostaphin R S One would be mistaken in diagnosing the patient because the signs and symptoms have similarities to what transfusion reaction?
A. Johnny Atkinson, a 19-year-old dengue patient at Cagayan United Doctors’ Medical Center, complains that he had difficulty breathing after being transfused with one platelet concentrate unit. He also requested his mother to buy him some pain reliever for he is experiencing pain in his arm and back. His doctor immediately asks Marisol Panganiban, the medical technologist on duty, to collect blood samples from Johnny and perform necessary laboratory methods.
CHEMISTRY
|
Lactate |
20mg/dL |
|
pO2 |
75mmHg |
|
Creatinine |
1.5mg/dL |
|
Total bilirubin |
2mg/dL |
|
Serum glucose |
150mg/dL |
|
C3 |
3g/L |
|
ALP |
90U/L |
|
AST |
25U/L |
|
ALT |
30U/L |
HEMATOLOGY
|
RBC |
5x1012/L |
|
WBC |
12x109/L |
|
Platelet |
100x109/L |
|
Hemoglobin |
11g/dL |
|
Hematocrit |
35% |
|
APTT |
45seconds |
BACTERIOLOGY
|
|
Blue |
|
Catalase |
+ |
|
Modified oxidase |
- |
|
Vogues-Proskauer |
+ |
|
Physical appearance of colonies: Creamy yellow |
|
|
Antimicrobial Susceptibility test Bacitracin Lysostaphin |
R S |
- One would be mistaken in diagnosing the patient because the signs and symptoms have similarities to what transfusion reaction?
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