Shaukat Abrar, Amjad Tanveer, Shahid Raza, Badshah Khan.
Post transfusion hepatitis C transmission from screened blood.
Pak Armed Forces Med J Jan ;58(3):343-5.

A 60 years old lady was admitted with diabetic foot on 23 Sep 20006. She had diabetes for last 25 years and had complicated disease with ischemic heart disease, nephropathy, neuropathy and maculopathy. At the time of admission her Hb was 8.0 g/dl, liver function tests were normal, urea 25.7 mmol/l and creatinine 371 micromol/l. Her HBsAg and anti HCV were negative. She was managed with protein restricted diet, daily dressings for foot ulcer and injection erythropoeitin. Her diabetes was controlled with insulin and she started to improve gradually. During her stay in hospital received four units of blood, two units within first week of admission and two units in last week of Nov.In last week of Nov she complained of persistent nausea despite improvement in her renal functions (urea 8.4 mmol/l, creatinine 96 micromol/l). Her liver functions were repeated which revealed raised ALT 492 u/l. Anti HCV was repeated and was found positive. Later on hepatitis C PCR was also found strongly positive. Her bilirubin incr eased to 160 micromol/l and ALT 1124 u/l over next couple of weeks but has started to settle now.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com