José Gil Cota Montoya, Teresita de Jesús Gutiérrez García, María Silvia Lule Morales, Alejandro Alejandre García

Language: Spanish
References: 14
Page: 145-149
PDF size: 66.90 Kb.

ABSTRACT

The first report of AIDS in children in the US was in 1982 and in Mexico it was diagnosed at the Infantile Hospital of Mexico in 1986. The situation of AIDS in children is particularly important, since children of infected mothers frequently end up as orphans. Material and methods: The clinical history of 13 children diagnosed with AIDS/HIV in a period of 10 years (January 1993 – July 2003) at the Pediatric Pneumology Service of the National Institute for Respiratory Diseases were reviewed, with attention to X-ray results and most frequently isolated microorganisms, lymphocytic subpopulation and mechanism of acquisition of the disease. Results: A total of 13 pediatric patients with AIDS diagnosis were found; the main mechanism of transmission of the disease was vertical. Age of diagnosis had prevalence in the younger than two-year olds. The lymphocytic subpopulation was determined in 9 out of 13 patients and in 7 CD4+ was reduced. The most frequently isolated microorganisms was Mycobacterium tuberculosis in 6 cases, followed by cytomegalovirus. The most common X-ray pattern observed at the time of diagnosis was interstitial image. Conclusions: The microorganisms that affect the lung most frequently in pediatric AIDS infection were established and found to be different from those that affect adults under the same conditions, since in these the most frequent microorganism is Pneumocystis carinii. The time of diagnosis was found to be much longer than in adults.

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