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Paciente con anemia 3.2 g/dl con tto AZT
Jul 6, 2005
¿como saber definitivamente si un paciente con Hb 3.2 g/dl despues de tomar por dos meses AZT, tenga ese grado de anemia debido al efecto adverso de AZT, y no sea por el mismo VIH?
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Respuesta del Dr. Natterstad
Hola,
Podría ser debido a los dos; sin embargo lo más importante es que una hemoglobina de 3.2 g/dL significa una anemia sumamente severa y una emergencia médica. El AZT se debe dejar inmediatamente, porque hay una verdadera posibilidad que esté contribuyendo a la anemia, y una transfusión de sangre se debe administrada enseguida. También es posible que después de la transfusión y la vuelta a una hemoglobina más segura este paciente pueda beneficiar de Procrit (junto con hierro porque con una hemoglobina de 3.2, las reservas de hierro son ciertamente bien reducidas), un tratamiento que incrementa los niveles de hemoglobina.
Por favor dime cómo está andando este paciente. Gracias por escribir. Un abrazo.
Dr. Steve
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