title: Mismatched transfusion of 8 AB0-incompatible units of packed red blood cells in a patient with acute intermittent porphyria.
abstract: We report on a patient with acute intermittent porphyria, who received 8 AB0 incompatible units of packed red blood cells in an emergency situation. She never showed any signs of severe intravascular haemolysis. The patient died after four weeks because of a multi-organ failure caused from the malpractice of the porphyria. The problems of bedside testing, mixing field reaction, fresh frozen plasma and molecular-genetic determination of bloodgroup were discussed.
authors.affiliation: Klinikverbund St. Antonius und St. Josef Wuppertal, Institute for Anesthesia.
authors.forename: Burkard
authors.initials: B
authors.lastname: Rudlof
authors.forename: Burkhard
authors.initials: B
authors.lastname: Just
authors.forename: Robert
authors.initials: R
authors.lastname: Deitenbeck
authors.forename: Thomas
authors.initials: T
authors.lastname: Ehmann