Septic Shock Due to Yersinia enterocolitica After Autologous Transfusion

We report a case of septic shock due to Yersinia enterocolitica that occurred after an autologous transfusion of packed red blood cells. This rare but dramatic event has been described in cases of transfusion of heterologous erythrocytes. Contamination of the blood cells results from bacteremia in h...

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Veröffentlicht in:Clinical infectious diseases 1993-11, Vol.17 (5), p.954-955
Hauptverfasser: Sire, J. M., Michelet, C., Mesnard, R., Tardivel, R., Minet, J., Bracq, H., Avril, J. L.
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container_end_page 955
container_issue 5
container_start_page 954
container_title Clinical infectious diseases
container_volume 17
creator Sire, J. M.
Michelet, C.
Mesnard, R.
Tardivel, R.
Minet, J.
Bracq, H.
Avril, J. L.
description We report a case of septic shock due to Yersinia enterocolitica that occurred after an autologous transfusion of packed red blood cells. This rare but dramatic event has been described in cases of transfusion of heterologous erythrocytes. Contamination of the blood cells results from bacteremia in healthy donors who are carriers of Y. enterocolitica, this bacterium can multiply and produce large quantities of endotoxin at 4 degree C, the temperature at which units of blood are normally stored. To our knowledge no case that occurred after autotransfusion has been described in the literature. Although autotransfusion guarantees total immunologic safety, microbiological safety is less certain. Preventive measures should be taken, especially if the candidate for operation has a recent history of diarrhea at the time blood is taken.
doi_str_mv 10.1093/clinids/17.5.954
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source Jstor Complete Legacy; MEDLINE; Oxford University Press Journals Digital Archive Legacy
subjects Adolescent
Antibiotics
Bacteremia
Blood
Blood transfusion
Blood Transfusion, Autologous - adverse effects
Correspondence
Diarrhea
Endotoxins
Erythrocyte Transfusion - adverse effects
Erythrocytes
Humans
Male
Septic shock
Shock, Septic - etiology
Shock, Septic - prevention & control
Yersinia
Yersinia enterocolitica
Yersinia Infections - etiology
title Septic Shock Due to Yersinia enterocolitica After Autologous Transfusion
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