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| LETTER TO EDITOR |
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| Year : 2021 | Volume
: 8
| Issue : 4 | Page : 279 |
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Ocular scedosporiosis in an immunocompetent host
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
| Date of Submission | 21-Jun-2020 |
| Date of Decision | 22-Oct-2020 |
| Date of Acceptance | 24-Dec-2020 |
| Date of Web Publication | 27-May-2022 |
Correspondence Address:
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad
Iraq
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/cjhr.cjhr_76_20
How to cite this article:
Al-Mendalawi MD. Ocular scedosporiosis in an immunocompetent host. CHRISMED J Health Res 2021;8:279 |
Sir,
In January–March 2020 issue of the CHRISMED J Health Res, Bajaj et al.[1] reported a rare case of ocular scedosporiosis (OS) in an immunocompetent Indian patient. I presume that the immunocompetent status of the studied patient was based on the obvious author's statement that “he had no past history of any chronic illness such as diabetes or hypertension. He had a history of road traffic accident 2 years back, which resulted in weakness of the right side of the body and facial palsy.”[1] Regrettably, the authors did not consider infection with human immunodeficiency virus (HIV) as the leading cause of immunocompromised states. It is obvious that HIV-positive individuals are at an increased risk to various fungal infections due to weak immunity. Among these infections, scedosporiosis has been reported in HIV-infected individuals.[2] India is notably among Asian countries challenging the grave consequences of HIV epidemic. The available published data pointed out that the national adult HIV seroprevalence was estimated at 0.22% (0.16%–0.30%) in 2017.[3] I presume that HIV infection ought to be taken into consideration. Implementing the diagnostic algorithm of CD4 lymphocyte count and viral overload measurements as well as fourth-generation assays for the detection of P24 antigen and antibodies in the studied patient would have envisaged. If that algorithm was to show HIV infection, the case in question could be regarded as a novel case report of HIV-related OS in the literature.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Bajaj A, Mishra B, Thakur A, Loomba PS, Sharma A. Ocular scedosporiosis in an immunocompetent host. CHRISMED J Health Res 2020;7:74-7.  [Full text] |
| 2. | Sarva ST, Manjunath SK, Baldwin HS, Robins DB, Freire AX. Lung scedosporiosis in human immunodeficiency virus/acquired immunodeficiency syndrome. Am J Med Sci 2010;339:300-3. |
| 3. | Government of India, Ministry of Health & Family Welfare, National Aids Control Organisation. HIV Facts & Figures. Available from: http://naco.gov.in/hiv-facts-figures. [Last accessed on 2020 Jun 20]. |
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