In the Clouds
A 10-year-old boy presents with a history of multiple recurrent infections including pneumonia, lymphadenitis, and osteomyelitis since the age of 2 months. The patient currently has a pulmonary mycetoma that is refractory to medical treatment and is scheduled for surgical resection. A type and screen sample (ethylenediaminetetraacetic acid [EDTA] anticoagulant) is submitted to the blood bank with a request for two units of red blood cells (RBCs) for surgery.
KeywordsAcanthocytes Anti-Km antibody Anti-Kx antibody Creatine kinase Chronic granulomatous disease gp91phox gene Kell blood group Kell null McLeod syndrome
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