Why is blood transfusion dangerous if the groups match?
Blood group compatibility is determined by the presence or absence of certain antigens on the surface of red blood cells. When a person receives a blood transfusion from a compatible donor, the recipient's immune system does not recognize the donor's red blood cells as foreign and does not attack them.
However, if a person receives a blood transfusion from an incompatible donor, the recipient's immune system may attack the donor's red blood cells, causing a condition called a transfusion reaction. Transfusion reactions can range in severity from mild to life-threatening, and can include symptoms such as fever, chills, nausea, vomiting, shortness of breath, and low blood pressure.
In some cases, a transfusion reaction can lead to kidney failure, liver damage, or even death. Therefore, it is essential that blood transfusions only be performed with compatible blood.