Journal of Craniovertebral Junction and Spine

LETTERS TO EDITOR
Year
: 2017  |  Volume : 8  |  Issue : 3  |  Page : 291-

Hydatid disease of the spine: A rare case


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

Correspondence Address:
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad
Iraq




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


How to cite this URL:
Al-Mendalawi MD. Hydatid disease of the spine: A rare case. J Craniovert Jun Spine [serial online] 2017 [cited 2022 Aug 12 ];8:291-291
Available from: https://www.jcvjs.com/text.asp?2017/8/3/291/215215


Full Text

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

Nil.

Conflicts of interest

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References

1Agnihotri 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.
2Fomda 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.
3Kayal A, Hussain A. A comprehensive prospective clinical study of hydatid disease. ISRN Gastroenterol 2014;2014:514757.
4Paranjape RS, Challacombe SJ. HIV/AIDS in India: An overview of the Indian epidemic. Oral Dis 2016;22 Suppl 1:10-4.
5Erayman 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.