PMID- 53329 OWN - NLM STAT- MEDLINE DCOM- 19760209 LR - 20190610 IS - 0140-6736 (Print) IS - 0140-6736 (Linking) VI - 2 IP - 7940 DP - 1975 Nov 1 TI - Clinical and serological analysis of transfusion-associated hepatitis. PG - 838-41 AB - Of 108 prospectively followed, multiply transfused, open-heart-surgery patients, 12 (11%) developed hepatitis. Patients received only volunteer donor blood tested for hepatitis-B surface antigen (HBsAg) prior to transfusion by counterelectrophoresis (C.E.P.). 4 of the 12 patients developed hepatitis-B-virus infection. Subsequent testing of donor serums by solid-phase radioimmunoassay (R.I.A.) revealed that an R.I.A.-positive, C.E.P.-negative blood unit was transfused to 3 of the 4 type-B hepatitis cases, but to none of the remaining 104 patients; 3 hepatitis-B cases could probably have been prevented by prescreening of donors by solid-phase R.I.A. 8 hepatitis cases were serologically unrelated to the hepatitis-B virus, the hepatitis-A virus, the cytomegalovirus, or the Epstein-Barr virus. Had R.I.A.-positive donors been excluded, 8 of the 9 residual hepatitis cases (89%) would have represented "non-A, non-B" hepatitis. The existence of previously unrecognised human hepatitis virus(es) is probable. FAU - Alter, H J AU - Alter HJ FAU - Holland, P V AU - Holland PV FAU - Morrow, A G AU - Morrow AG FAU - Purcell, R H AU - Purcell RH FAU - Feinstone, S M AU - Feinstone SM FAU - Moritsugu, Y AU - Moritsugu Y LA - eng PT - Journal Article PL - England TA - Lancet JT - Lancet (London, England) JID - 2985213R RN - 0 (Antibodies, Viral) RN - 0 (Hepatitis B Antigens) RN - EC 2.6.1.1 (Aspartate Aminotransferases) RN - EC 2.6.1.2 (Alanine Transaminase) RN - RFM9X3LJ49 (Bilirubin) SB - IM MH - Adult MH - Alanine Transaminase/blood MH - Antibodies, Viral/isolation & purification MH - Aspartate Aminotransferases/blood MH - Bilirubin/blood MH - Blood Donors MH - Blood Specimen Collection MH - Cytomegalovirus/immunology MH - Hemagglutination Tests MH - Hepatitis B/blood/*diagnosis/etiology MH - Hepatitis B Antigens/isolation & purification MH - Hepatitis B virus/immunology MH - Hepatovirus/immunology MH - Herpesvirus 4, Human/immunology MH - Humans MH - Prospective Studies MH - Radioimmunoassay MH - *Transfusion Reaction EDAT- 1975/11/01 00:00 MHDA- 1975/11/01 00:01 CRDT- 1975/11/01 00:00 PHST- 1975/11/01 00:00 [pubmed] PHST- 1975/11/01 00:01 [medline] PHST- 1975/11/01 00:00 [entrez] AID - S0140-6736(75)90234-2 [pii] AID - 10.1016/s0140-6736(75)90234-2 [doi] PST - ppublish SO - Lancet. 1975 Nov 1;2(7940):838-41. doi: 10.1016/s0140-6736(75)90234-2.