{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:10:04Z","timestamp":1756325404357,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,4,25]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>We report a successful case where a newborn with transfusion-related acute lung injury following an exchange transfusion was effectively treated using conservative methods, eliminating the need for surfactant therapy. Very few instances of this complication have been documented globally. A low birth weight, small for gestational age, term neonate, diagnosed with hyperbilirubinaemia due to Rh incompatibility, experienced sudden respiratory distress in the form of severe retractions, tachypnoea and cyanosis 3\u2009hours after the procedure. Neonate required mechanical ventilation on the grounds of mixed acidosis and diffuse alveolar infiltrates on the chest radiograph. The medical team suspected and treated the baby for transfusion-related acute lung injury through conservative measures. Transfusion-related acute lung injury, an acute life-threatening complication of blood component transfusion, can exhibit symptoms in neonates that are frequently misinterpreted as sepsis. The baby was discharged in good health after successful management after 19 days.<\/jats:p>","DOI":"10.1136\/bcr-2024-259748","type":"journal-article","created":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T11:20:18Z","timestamp":1714735218000},"page":"e259748","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Postexchange transfusion-related acute lung injury in a term neonate"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1272-3076","authenticated-orcid":false,"given":"Nikita","family":"Diwan","sequence":"first","affiliation":[{"name":"Paediatrics, King George's Medical College, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mala","family":"Kumar","sequence":"additional","affiliation":[{"name":"Paediatrics, King George's Medical College, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0805-7370","authenticated-orcid":false,"given":"Shalini","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Paediatrics, King George's Medical College, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,5,3]]},"reference":[{"key":"2025082712305065000_17.5.e259748.1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.4103\/ajts.AJTS_120_16","article-title":"Acute respiratory distress syndrome in a neonate due to possible transfusion-related acute lung injury","volume":"11","author":"Maria","year":"2017","journal-title":"Asian J Transfus Sci"},{"key":"2025082712305065000_17.5.e259748.2","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1038\/jp.2012.114","article-title":"Post transfusion lung injury in the neonatal population","volume":"33","author":"Rashid","year":"2013","journal-title":"J Perinatol"},{"key":"2025082712305065000_17.5.e259748.3","doi-asserted-by":"crossref","first-page":"103133","DOI":"10.1016\/j.transci.2021.103133","article-title":"Acute lung injury after exchange transfusion in two newborns with Glucose-6-phosphate dehydrogenase deficiency","volume":"60","author":"Rzayev","year":"2021","journal-title":"Transfus Apher Sci"},{"key":"2025082712305065000_17.5.e259748.4","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1007\/BF01957910","article-title":"Transfusion-related acute lung injury treated with surfactant in a neonate","volume":"155","author":"Wu","year":"1996","journal-title":"Eur J Pediatr"},{"key":"2025082712305065000_17.5.e259748.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2004.05.021"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-259748","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:31:00Z","timestamp":1756323060000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-259748"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":5,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5,3]]},"published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1136\/bcr-2024-259748"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-259748","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,5]]}}}