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HEMOLYTIC TRANSFUSION REACTIONS.

After receiving apparently compatible blood three patients suffered hemolytic reactions. The compatibility tests were by saline and indirect Coombs technique including a screening tube of group 0 cells. The antibodies responsible for these reactions were not clearly demonstrable for several days following the transfusion. In two instances the antibody was anti-E.These case reports point up the following. (a) Currently used cross-matching procedures will occasionally fail to demonstrate an incompatibility. (b) In two of the cases the direct Coombs test was negative on an immediate post-transfusion specimen, when it could have been of great aid in diagnosis. (c) When a transfusion reaction of hemolytic type is suspected, a follow-up study several days after the reaction may clarify the diagnosis; when possible, transfusions should be avoided in the interim.

Antibodies↗

PROSTATITIS; AN EVALUATION OF LABORATORY PROCEDURES AND OF THE EFFECTIVENESS OF NITROFURANTOIN.

An estimate of the pus content of prostatic fluid is as good as a count in a counting chamber. There is no correlation between the pus content and the severity of symptoms. Of all of the criteria for making a diagnosis of prostatitis, the pus content of the fluid is the least important. Culture of prostatic fluid is of very little, if any, value for making a diagnosis or guiding treatment. The results of treatment of chronic prostatitis by prostatic massage only, are as good as those obtained by massage plus nitrofurantoin. Acute and subacute prostatitis responded well to nitrofurantoin, and there seemed less likelihood of recurrence when the drug was continued in small doses for four weeks.

Body Fluids↗