Clinical Practice and Cases in Emergency Medicine
Late Presentation of Transfusion-related Acute Lung Injury in the Emergency Department
- Author(s): Peak, David K.
- Davis, William T.
- Walton, Steven B.
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2018.11.40592
Transfusion-related acute lung injury (TRALI) is a complication of blood product transfusion characterized by respiratory distress with bilateral lung infiltrates and non-cardiogenic pulmonary edema developing within six hours of transfusion. TRALI is believed to result from an immunological response to transfused blood products. TRALI is a clinical diagnosis that requires the exclusion of other etiologies of pulmonary edema and acute lung injury. Here we report a case of a female who presented to the emergency department in acute respiratory distress two days after receiving a transfusion of packed red blood cells for post-operative anemia following a hysterectomy.