Case Report
Pregnancy with a Severe Hemoglobinopathy: Unintended Consequences of Transfusions
Table 1
Important lab values from admission to hospital to 2 follow-up outpatient visits.
| | Admission | Day 0 | Day 1 | Day 2 | Day 3 | Day 4 | Day 5 | Day 6 | Day 7 | Day 8 | Outpatient-PD day 2 | Outpatient-PD 3 weeks |
| Hb (g/dL) | 8.3 | 6.0 | 7.7 | 7.0 | 5.8 | 8.2 | 6.5 | 6.4 | 5.7 | 5.3 | 5.4 | 5.2 | 5.1 | 5.4 | 6.8 | Hematocrit (%) | 26.1 | 19.0 | 23.6 | 21.2 | 18.2 | 24.8 | 19.9 | 19.4 | 17.4 | 16.0 | 16.9 | 16.7 | 16.6 | 18.0 | 23.3 | WBC (K/μL) | 13.6 | — | 7.9 | — | 6.6 | — | — | — | 4.5 | 5.3 | 6.6 | 8.5 | 10.3 | 11.0 | 7.9 | RBC (K/μL) | 3.85 | — | 3.29 | — | 3.38 | — | — | — | 2.53 | 2.39 | 2.39 | 2.61 | 2.59 | 2.78 | 3.56 | Platelet (K/μL) | 222 | — | 159 | — | 154 | — | — | — | 168 | 171 | 157 | 236 | 198 | 250 | 249 | MCV (fL) | 68 | — | 71.6 | — | 73.4 | — | — | — | 68.9 | 66.9 | 66.1 | 64 | 64 | 64.6 | 65.5 | RDW (%) | 33.9 | — | 34.1 | — | 33.2 | — | — | — | 38.7 | 33.9 | 32.6 | 31.5 | 31.1 | 32.1 | 30.8 | Retic count (%) | — | — | — | — | 3.5 | — | 3.4 | — | 3.3 | 4.8 | 3.8 | 5.2 | 6.1 | 6.4 | — | BUN (mg/dL) | 16 | — | 14 | — | 11 | — | — | — | — | — | — | — | — | — | — | Creatinine (mg/dL) | 0.53 | — | 0.48 | — | 0.45 | — | 0.40 | — | 0.42 | 0.46 | 0.46 | 0.50 | 0.51 | 0.49 | — | LDH (U/L) | 635 | — | 624 | — | 803 | — | 763 | — | 809 | 904 | 865 | 838 | 829 | 470 | — | Total bilirubin (mg/dL) | 10.0 | — | 6.3 | — | 9.9 | — | 11.1 | — | 10.6 | 14.0 | 10.7 | 8.0 | 6.7 | 3.9 | 2.2 | Direct bilirubin (mg/dL) | — | — | 2.1 | — | 5.1 | — | — | — | 7.6 | 10.1 | 7.6 | 5.6 | 4.7 | 2.6 | 1.2 | AST (U/L) | — | — | — | — | 30 | — | — | — | 25 | — | — | — | — | — | — | ALT (U/L) | — | — | — | — | 9 | — | — | — | 9 | — | — | — | — | — | — | Alk phos (U/L) | — | — | — | — | 131 | — | — | — | 165 | — | — | — | — | — | — | Temperature (°C) | 38.2 | 36.1 | 38.1 | 36.8 | 36.8 | 39.3 | 37.2 | 37.0 | 37.0 | 37.1 | 36.8 | 36.7 | 36.6 | 37.1 | — | Heart rate (bpm) | 139 | 111 | 85 | 123 | 130 | 92 | 116 | 124 | 101 | 109 | 110 | 118 | 107 | 68 | 78 | Respiratory rate (breaths/min) | 16 | 23 | 20 | 30 | 39 | 9 | 16 | 20 | 18 | 20 | 18 | 16 | 20 | 15 | — | Transfusions completed (packed RBCs) | — | 2 units | — | — | 2 units | — | — | — | — | — | — | — | — | — | — |
|
|