Dengue

Record number: 
1052
Adverse Occurrence type: 
MPHO Type: 
Time to detection: 
N/A
Alerting signals, symptoms, evidence of occurrence: 
Patient with hepatocellular carcinoma, received platelets from a dengue viraemic donor but remained asymptomatic despite IgG and IgM seroconversion.
Demonstration of imputability or root cause: 
Asymptomatic repeat donor at time of donation, reported fever and myalgia 1 day post donation. DENV-2 detected in blood by PCR. Three recipients of blood components (RBC, platelets, FFP) from same donation were diagnosed with DENV- 2 infection within 2 days from transfusions.
Imputability grade: 
3 Definite/Certain/Proven
Suggest references: 
Tambyah, P.A., Koay, E.S., Poon, M.L., Lin, R.V., and Ong, B.K. (2008). Dengue hemorrhagic fever transmitted by blood transfusion. N Engl J Med 359:1526-27. Teo, D., Ng, L.C. and Lam, S.(2009). Is dengue a threat to the blood supply? Transfu Med 19(2): 66-77.