Case Report
Limited Exchange Transfusion Can Be Very Beneficial in Sickle Cell Anemia with Acute Chest Syndrome: A Case Report from Tanzania
Table 1
Serial full blood picture results.
| | Date | 04/07 (ADM) | 13/07 (post-BT 2 units) | 17/07 | 18/07 post-RCE 1 | 21/07 post-RCE 2 | 04/08 CV 1 | 03/11 CV 2 | Normal range |
| | TWBC (×109/L) | 19.8 | 44.8 | 26.9 | 28.1 | 24.8 | 07.4 | 13.1 | 4.0–10.0 | | aNeut (×109/L) | 12.4 | 37.4 | 18.2 | 20.6 | 22.1 | 03.4 | 06.0 | 2.0–6.9 | | aLym (×109/L) | 04.1 | 04.3 | 07.1 | 04.8 | 01.0 | 03.5 | 05.4 | 0.6–3.4 | | RBC (×1012/L) | 02.3 | 02.8 | 02.9 | 03.2 | 03.3 | 03.2 | 02.3 | 3.8–4.8 | | HCT (%) | 23.5 | 27.8 | 29.0 | 29.9 | 29.6 | 29.5 | 22.3 | 36.0–46.0 | | Hb (g/L) | 84.0 | 93.0 | 95.0 | 98.0 | 92.0 | 90.0 | 76 | 120–150 | | MCV (fl) | 101.0 | 98.0 | 102.0 | 92.4 | 88.6 | 92.0 | 98.3 | 83.0–99.0 | | MCH (pg) | 35.8 | 33.0 | 33.2 | 30.3 | 29.3 | 28.2 | 33.3 | 21.0–32.0 | | MCHC (g/dl) | 35.5 | 33.7 | 32.6 | 32.8 | 33.1 | 30.6 | 33.9 | 31.5–34.5 | | Platelets (×109/L) | 535 | 525 | 656 | 231 | 729 | 607 | 436 | 150–410 | | Reticulocytes (%) | — | — | — | 20 | — | — | — | — |
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ADM = on admission; BT = blood transfusion; RCE = red cell exchange; CV = clinic visit.
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