Record number:
998
Adverse Occurrence type:
MPHO Type:
Time to detection:
Immediate
Alerting signals, symptoms, evidence of occurrence:
A 46 year old female had sudden chills, dyspnea, and tachycardia; transfusion stopped and temperature increased from 97.9 F before transfusion to 99.5 12 hours after transfusion. Patient recovered after course of cefepime.
Demonstration of imputability or root cause:
C. koseri isolated from patient and RBC unit, antimicrobial susceptibilities of both isolates matched, genotyping not done. After investigation, no source of the contamination was found.
Imputability grade:
1 Possible
Keywords:
References:
Suggest references:
Fernandes C, Oliveira MC, Jorge MT. A case report of Citrobacter koseri bacteraemia after transfusion of contaminated red cells. Transfusion Medicine 2012;22:450-451.