ckuehnl

jayinsat. No, the patient's platelets have remained in the 240 range. No thrombocytopenia diagnosis, nor meds on his list that would show any probs with our testing. It's an interesting mystery to all of us. I've Googled, PubMed and book searched and not coming up with an explanation so I'm wondering if we're going to see issues with the newer targeted cancer treatments. I know the ARC sent out a notification of 1 drug that's an issue.

Yes. Same tube. We figured it must be a contaminant since the 2nd sample (drawn about 8 hours later) was fine on the Echo. P;us manual run of first sample yielding no issue. Plus original sample pointed to Echo issue. I'm thinking there's something in the prostrate drug that interfered. I'm not sure how long after administration of said drug the first sample was drawn (or if it was in fact from the arm like the RN stated (although I like to give benefit of doubt).

Negative and Negative. Patient isn't on TPN or any thrombocytopenia med either. His confirmation type specimen was drawn at 6am and all negative- Ran fine on the Echo. RN said both draws were in non-IV arm.

Hi. We encountered an interesting case tonight. A male patient with no history of transfusion (also said he's never been transfused) typed beautifully A Pos. His screen, however, was positive 3+ for cells 1 and 2 and then D pos panel cells ranged from 1+ to 3+. The D negative panel was negative and antibody ID panel was positive for all D pos cells. We then looked as his med list. He's on Bicalutamide, but there's no mention of BB interference in any literature I've Googled. He has a hx of prostate cancer and family hx of malignant neoplasms. Tube results were negative across the board (I used both LISS and no LISS to see if any difference). They were text book, beautifully negative at that for all phases. DAT negative. What could be an explanation of this??? Is there any cases of solid phase D reacting due to meds? Meds are the only conclusion we've come to so far. Any thoughts???