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Article
January 1982

Transfusion MalariaTreatment With Exchange Transfusion After Delayed Diagnosis

Author Affiliations

From the Infectious Diseases Unit and Department of Pathology, Strong Memorial Hospital (Drs Yarrish, Janas, Nosanchuk, and Steigbigel), and the American Red Cross Blood Services, Rochester (NY) Region (Dr Nusbacher). Dr Yarrish is now with Vanderbilt University, Nashville, Tenn; Dr Nosanchuk is now with Tompkins County Hospital, Ithaca, NY; Dr Janas is now at Rochester (NY) General Hospital.

Arch Intern Med. 1982;142(1):187-188. doi:10.1001/archinte.1982.00340140189034
Abstract

• A 65-year-old woman was rehospitalized for increasing mental confusion 16 days after open heart surgery for mitral stenosis. A diagnosis of transfusion-acquired falciparum malaria was made from a routine peripheral blood smear 24 hours after admission. Because progressive encephalopathy developed while she was receiving antimalarial drugs, a therapeutic exchange transfusion was performed. Clinical improvement occurred promptly during the exchange, and the patient went on to complete recovery from her malaria. The putative blood donor involved met the currently accepted standards for blood donors.

(Arch Intern Med 1982;142:187-188)

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