AEGiS-11IAC: Frequents mistakes in young pediatricians working in HIV.

11th International AIDS Conference

Vancouver, British Columbia — July 7-12, 1996

Frequents mistakes in young pediatricians working in HIV.

Int Conf AIDS 1996 Jul 7-12; 11:450 (abstract no. Pub.B.1075)
Kopeki G, Gustafson M, Galindez J, Giagnorio J, Pedrola M; Rosario, Argentina. Fax: 0054-41-254444.

ISSUES: We have observed that in the face of the presence of a newly born, whose parents are infected with HIV, the pediatricians in training associate strongly, the clinical and biochemical alterations that the patients presents in the first months of life with their parents pathology.

PROJECT: Since 1993 we had frequently observed in our Service that children that presented frequent and recurrent squares like for example, low weight syndrome, grow retard, diarrheas, pneumonias, convulsions, inespecific dermatological alterations, CMV + serology, ferroprives anemias. When they went to first year serological control, most of them didn't have anymore HIV antibodies, inciting in a medical team a new diagnostic challenge.

RESULTS: The pathologies that these patients presented finally were ascribed to other more frequent inmunodeficiency causes in our region like malnutrition, parasitosis, abandonment, hygienic dietary, treatment negligence, alimentary allergies and others.

LESSONS LEARNED: We should teach to our young residents that in the face of presence of this kind of patients and with the well known difficulties to accede to more specific and fast methods to the HIV infection confirmation. We should always expound the diagnosis of other common inmunodeficiences in the developed world, in order to: 1) avoid unnecessary and risk antiretrovirals treatments; 2) really modify the true causes of their pathologies.

Keywords: AEGIS, HIV Infections, HIV Antibodies, Cytomegalovirus, Cytomegalovirus Infections, Work, CD4-CD8 Ratio, Blotting, Western, Neutralization Tests, Child, Human, diagnosis, immunology, ICA11

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