EXCHANGE-TRANSFUSION OF A PATIENT WITH FULMINANT LASSA FEVER
EXCHANGE-TRANSFUSION OF A PATIENT WITH FULMINANT LASSA FEVER
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DOI：
10.1136/pgmj.67.784.193
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发表时间：
1991-02-01
影响因子：
5.1
通讯作者：
MACHIN, SJ
中科院分区：
文献类型：
--
作者：
CUMMINS, D;BENNETT, D;MACHIN, SJ
We report a patient with fulminant Lassa fever who responded dramatically to a 2.5-litre exchange transfusion of whole blood. On admission he was semicomatose with facial oedema and oral haemorrhage; his platelets showed markedly depressed aggregation to ADP; and his plasma inhibited the aggregation responses of normal platelets in vitro. Exchange transfusion resulted in rapid clinical improvement, recovery of platelet function, and disappearance of platelet-inhibitory activity in plasma. The patient died 2 weeks later from an acute encephalopathy. His initial response was sufficiently impressive to suggest that further evaluation of this therapeutic approach is justified in selected patients with overwhelming Lassa virus infection.
