DOI: 10.1373/clinchem.2009.131623


A 4-day-old neonate born prematurely at 29 weeks gestation developed thrombocytopenia (platelet count 43 × 109/L) with associated severe pulmonary and intracranial hemorrhaging. Urgent transfusions with 10 mL/kg of packed red cells and 10 mL/kg of platelet concentrate were given. These were sourced from blood donated 2 days earlier in Singapore by a 21-year-old female university student who was clinically well at the time. The day after these blood products were given to the neonate, the blood donor contacted the blood transfusion service to inform them that she was now sick with a febrile flu-like illness. Her blood donation screening plasma sample was retrieved and tested by PCR for several viruses, including dengue, chikungunya, enterovirus, and Epstein-Barr virus.