title: Transfusion-related acute lung injury in the paediatric patient: Two case reports and a review of the literature.
abstract: Transfusion-related acute lung injury (TRALI) is increasingly recognized as a major complication of transfusion therapy; it was the leading cause of transfusion-related fatalities in the United States in 2003. Most cases of TRALI that have been reported are in adult patients. We present two cases of TRALI that occurred in children and review the existing literature of paediatric TRALI. The paediatric TRALI case reports highlight two laboratory findings that can help in the diagnosis of TRALI: transient leucopenia and an elevated pulmonary oedema fluid/plasma protein ratio. These two simple diagnostic tests can help rule out other diagnoses and add confidence to the clinical diagnosis of TRALI. Finally, our first case also highlights the potential danger of directed maternal blood donations, which may increase the risk of paediatric TRALI.
authors.affiliation: Cardiovascular Research Institute, Department of Pediatrics, University of California, San Francisco, San Francisco, California 94143-0130, USA. gwynnechurch@yahoo.com
authors.forename: G D
authors.initials: GD
authors.lastname: Church
authors.forename: C
authors.initials: C
authors.lastname: Price
authors.forename: R
authors.initials: R
authors.lastname: Sanchez
authors.forename: M R
authors.initials: MR
authors.lastname: Looney
mesh_terms: D000293:Adolescent; D001782:Blood Donors; D001798:Blood Proteins / Q000032:analysis; D002648:Child; D005260:Female; D006648:Histocompatibility / Q000276:immunology; D006650:Histocompatibility Testing / Q000379:methods; D006801:Humans; D007970:Leukopenia / Q000209:etiology; D011654:Pulmonary Edema / Q000209:etiology; D012128:Respiratory Distress Syndrome / Q000150:complications / Q000175:diagnosis / Q000209:etiology*; D065227:Transfusion Reaction
chemical_list: D001798:Blood Proteins