[AIDS in children. 8 years experience at La Raza Medical Center Infectology Hospital, Mexican Social Security Institute].
The objective for this work was to describe the transmission mechanisms and the clinical behavior of 60 HIV-infected pediatric patients. We studied children from newborn to 15 years old according to the CDC criteria. From January 1985 to February 1992, were evaluated 60 patients, 40 males and 20 females; 25 with perinatal transmission (23 transplacental and 2 breast-feeding), 22 hemophiliacs, 12 by blood transfusion and 1 by intramuscular injection with contaminated needle. The disease was symptomatic in 50 patients, asymptomatic in 5 and indeterminate in 5 cases. Up to date, 28 children are in phase P2, 10 in P0 and P1, and 22 patients have died. The clinical manifestations in 50 patients were: altered growth and development in 50, generalized lymphadenopathy in 30, severe infections in 23, fever in 15, hepatosplenomegaly in 15, chronic diarrhea in 10, and HIV-encephalopathy in one. It is concluded what at present time perinatal transmission is the main mechanism.
Pérez-Rodríguez
G E
GE
Hospital de Infectología, Centro Médico La Raza, Instituto Mexicano del Seguro Social, México, D.F.
Gorbea-Robles
M C
MC
Torres-González
F
F
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology* / Q000503:physiopathology / Q000635:transmission; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006779:Hospitals, Public; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008800:Mexico / Q000453:epidemiology