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Journal of Craniovertebral Junction and Spine
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LETTERS TO EDITOR
Year : 2017  |  Volume : 8  |  Issue : 3  |  Page : 291  

Hydatid disease of the spine: A rare case


Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq

Date of Web Publication20-Sep-2017

Correspondence Address:
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcvjs.JCVJS_71_17

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How to cite this article:
Al-Mendalawi MD. Hydatid disease of the spine: A rare case. J Craniovert Jun Spine 2017;8:291

How to cite this URL:
Al-Mendalawi MD. Hydatid disease of the spine: A rare case. J Craniovert Jun Spine [serial online] 2017 [cited 2018 Nov 19];8:291. Available from: http://www.jcvjs.com/text.asp?2017/8/3/291/215215

Sir,

I read with interest the case report by Agnihotri et al., on the hydatid disease (HC) of the spine.[1] It is obvious that HC is an important zoonotic disease worldwide, including India. The available data pointed out that 5.03% of individuals asymptomatic for HC in India were found to be seropositive to Echinococcus granulosus antigen by serology.[2] Interestingly, the incidence of HC at unusual sites was noticed to be higher in India than in other parts of the world.[3] Individuals infected with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome are more vulnerable to a wide range of zoonotic infections, including HC due to impaired cellular and humoral immunity. To the best of my knowledge, HIV infection is still a major health threat in India. The current national prevalence is about 0.26% compared with a global average of 0.2%.[4] I presumes that the authors did not specifically consider underlying HIV infection in the studied patient as they mentioned that “all the hematological investigations were normal.”[1] Contemplating the diagnostic set of estimating CD4 count and viral overload was solicited. If the aforementioned diagnostic set was done and it disclosed underlying HIV infection, the case in question could be considered a novel case report in India as HIV-associated primary spinal HC has been rarely reported in the literature so far.[5]

Financial support and sponsorship

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Conflicts of interest

There are no conflicts of interest.

 
   References Top

1.
Agnihotri M, Goel N, Shenoy A, Rai S, Goel A. Hydatid disease of the spine: A rare case. J Craniovertebr Junction Spine 2017;8:159-60.  Back to cited text no. 1
[PUBMED]    
2.
Fomda BA, Khan A, Thokar MA, Malik AA, Fazili A, Dar RA, et al. Sero-epidemiological survey of human cystic echinococcosis in Kashmir, North India. PLoS One 2015;10:e0124813.  Back to cited text no. 2
[PUBMED]    
3.
Kayal A, Hussain A. A comprehensive prospective clinical study of hydatid disease. ISRN Gastroenterol 2014;2014:514757.  Back to cited text no. 3
    
4.
Paranjape RS, Challacombe SJ. HIV/AIDS in India: An overview of the Indian epidemic. Oral Dis 2016;22 Suppl 1:10-4.  Back to cited text no. 4
    
5.
Erayman I, Kalkan E, Erdi F, Kerimoglu Ü, Esen H. Primary spinal hydatid cyst in a patient with acquired immunodeficiency syndrome. Eur Spine J 2011;20 Suppl 2:S235-8.  Back to cited text no. 5
    




 

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