%0 Journal Article %T SIDA y hemofilia en Pediatr赤a: a prop車sito de un caso %A Ida Gonz芍lez N迆ˋez %A Manuel D赤az Jidy %A Jorge P谷rez 芍vila %J Revista Cubana de Medicina Tropical %D 2003 %I Centro Nacional de Informaci車n de Ciencias M谷dicas %X Se report車 un escolar de 12 a os de edad, blanco con el diagn車stico de hemofilia A grado III desde los 2 meses de nacido, por lo cual ha recibido innumerables transfusiones de crioprecipitado y varias de sangre. En 1999 se le diagnostic車 una hepatitis C y a finales del 2000, infecci車n por el virus de inmunodeficiencia humana, ambos con mucha probabilidad de haber sido adquiridos por las transfusiones de sangre y hemoderivados recibidas. Por los estudios inmunol車gicos realizados se corroboraron cifras de linfocitos TCD4 muy bajas (4 %) con 54 c谷lulas/mm3, por lo que clasifica como SIDA, grupo B-3, seg迆n clasificaci車n del Centers for Disease Control (CDC) de Atlanta de 1994 y se le indica tratamiento antirretroviral con triterapia (d4T, 3TC y Nelfinavir). Se present車 este caso para alertar los cuidados que se deben tener en cuenta al prescribir tratamiento con antivirales e inhibidores de proteasas para el SIDA, en los casos pedi芍tricos con el diagn車stico de hemofilia, porque algunos de estos medicamentos pueden producir episodios de sangrado espont芍neo. It is reported the case of a 12-year-old white school boy with diagnosis of degree III hemophilia A since he was 2 months old that had received innumerable transfusions of cryoprecipitate and several of blood. In 1999, he was diagnosed hepatitis C and, at the end of 2000, HIV infection. There was a high possibility of having acquired them both by the blood and hemoderivative transfusions received. As very low figures of TCD4 lymphocytes (4 %) with 54 cells/mm3 were corroborated on conducting immunological studies, it was classified as group B-3 AIDS, according to the classification established by the CDC of Atlanta, in 1994. He was indicated antiretroviral treatment with tritherapy (d4T, 3TC and Nelfinavir). This case was reported to call the attention of doctors at the time of indicating treatment with antivirals or protease-inhibitors to fight AIDS in pediatric cases with diagnosis of hemophilia, since some of them may cause spontaneous bleeding episodes. %K HEMOFILIA A %K HEPATITIS C %K SINDROME DE INMUNODEFICIENCIA ADQUIRIDA %K TRANSFUSION SANGUINEA %K NI O %K HEMOPHILIA A %K HEPATITIS C %K ACQUIRED IMMUNODEFICIENCY SYNDROME %K BLOOD TRANSFUSION %K CHILD %U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0375-07602003000100011