An Unwanted Passenger

  • Aleksandar Mijovic


A Caucasian female, 36-year-old, became unwell and jaundiced over a period of 2 weeks. Her bilirubin was 400 μmol/l; AST 848 iu/l; INR 2.99 (norm. 0.9–1.2). Plasma ammonium ranged between 115 and 185 μmol/l (normal, <40 μmol/l). Three days later (day 0), she received right liver lobe auxiliary transplant from a cadaveric donor. On day 8, she was discharged from intensive care unit; her hemoglobin was 8.2 g/dl, and the bilirubin 162 μmol/l. On day 10, bilirubin was 294 μmol/l; hemoglobin decreased to 6.1 g/l, without signs of acute hemorrhage. The ward staff requested two units of red cells.


Blood Bank Caucasian Female Cadaveric Donor Plasma Ammonium GVHD Prophylaxis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Mijovic A, Abdallah A, Pearce L, et al. Effects on erythropoiesis of alemtuzumab-containing reduced intensity and standard conditioning regimes. Br J Haematol. 2008;142:444–52.PubMedCrossRefGoogle Scholar
  2. Ramsey G. Red cell antibodies arising after solid organ transplants. Transfusion. 1991;31:76–86.PubMedCrossRefGoogle Scholar

Further Reading

  1. Petz LD, Garratty G. Immune haemolytic anaemias. 2nd ed. Philadelphia: Churchill Livingstone; 2004.Google Scholar

Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • Aleksandar Mijovic
    • 1
  1. 1.Kings College Hospital HaematologyLondonUK

Personalised recommendations