Convalescent plasma for COVID-19 complicated by ARDS due to TRALI

BMJ Case Rep. 2021 Jan 28;14(1):e239762. doi: 10.1136/bcr-2020-239762.

Abstract

Convalescent plasma, which contains antibodies from recovered individuals, has been used as an effective treatment for infectious diseases in the past and is currently being used as a potential treatment option for COVID-19. Multiple studies have reported this treatment to be safe. We report a case of a patient who developed acute respiratory distress syndrome (ARDS) with features suggestive of transfusion-related acute lung injury after being treated with convalescent plasma for COVID-19. We emphasise the need to be aware of the potential risk of transfusion reactions and disease worsening with convalescent plasma administration and to weigh the risk and benefits of this therapy before administration to patients and propose that further study be done regarding the potential risks of convalescent plasma.

Keywords: haematology (drugs and medicines); haematology (incl blood transfusion); immunological products and vaccines.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • COVID-19 / complications*
  • COVID-19 / therapy*
  • COVID-19 Serotherapy
  • Diagnosis, Differential
  • Female
  • Humans
  • Immunization, Passive / methods
  • Pregnancy
  • Respiratory Distress Syndrome / complications*
  • SARS-CoV-2
  • Transfusion-Related Acute Lung Injury / complications*
  • Treatment Outcome