{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T06:42:12Z","timestamp":1781332932163,"version":"3.54.1"},"reference-count":10,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,6]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>A 50-year-old woman, with a background of autoimmune haemolytic anaemia, presented to the emergency department with lethargy and shortness of breath. Investigations revealed a haemoglobin level of 50\u2009g\/L. High dose steroids were administered and blood transfusion prescribed. However, the blood transfusion was delayed due to a positive antibody screen and concerns regarding administering blood when the patient was pyrexic. The delay resulted in a significant deterioration in the patient\u2019s clinical state with her haemoglobin level falling to 26\u2009g\/L 24 hours later. She was urgently transfused with blood and made a full recovery. This report analyses the delays for transfusion and how these could have been minimised. First, guidelines advise that emergency blood should be considered in life-threatening circumstances. Second, fever is not always a contraindication for transfusion, particularly in an emergency setting.<\/jats:p>","DOI":"10.1136\/bcr-2021-242378","type":"journal-article","created":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T13:48:39Z","timestamp":1621432119000},"page":"e242378","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Autoimmune haemolytic anaemia: emergency blood transfusion"],"prefix":"10.1136","volume":"14","author":[{"given":"Sian Angela","family":"Nasse","sequence":"first","affiliation":[{"name":"Hywel Dda Health Board, Aberystwyth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,5,19]]},"reference":[{"key":"2025082707312356000_14.5.e242378.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2009.10.115"},{"key":"2025082707312356000_14.5.e242378.2","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/S0308-2261(21)00630-5","article-title":"Immune haemolytic disease: the autoimmune haemolytic anaemias","volume":"4","author":"Pirofsky","year":"1975","journal-title":"Clin Haematol"},{"key":"2025082707312356000_14.5.e242378.3","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1111\/bjh.14478","article-title":"The diagnosis and management of primary autoimmune haemolytic anaemia","volume":"176","author":"Hill","year":"2017","journal-title":"Br J Haematol"},{"key":"2025082707312356000_14.5.e242378.4","unstructured":"Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee . 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