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This could be hemolysis (destruction) of red blood cells due to medication such as cyclosporin or tacrolimus or due to donor/recipient blood type mismatch (if your daughter was O+ and the donor was A+, for example).
The bili is a bit high but the enzymes aren't too bad. To check for presence of hemolysis, the LDH would be high, the haptoglobin would be low and there would be schistocytes (bitten red blood cells) under a microscope.
Hopefully the bili level will be lower tomorrow and this settles out. How are her kidney numbers, the urea and creatinine?
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Nicole, mom to Evan (20); diagnosed SAA November 2007, hATG mid-November 2007, no response after 6 months, unrelated 9/10 BMT June 2008, no GVH, health completely restored thanks to our beloved donor Bryan from Tennessee.
www.caringbridge.org/visit/evanmacneil
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