|LETTER TO EDITOR
|Year : 2021 | Volume
| Issue : 4 | Page : 208
Tuberculous splenic abscess in non-human immunodeficiency virus patient
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
|Date of Submission||26-Jun-2021|
|Date of Decision||10-Aug-2021|
|Date of Acceptance||20-Sep-2021|
|Date of Web Publication||11-Jan-2022|
Mahmood Dhahir Al-Mendalawi
P.O.Box 55302, Baghdad Post Office, Baghdad
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Al-Mendalawi MD. Tuberculous splenic abscess in non-human immunodeficiency virus patient. Hamdan Med J 2021;14:208
I read with interest the case report by Juneja and Jhamb published in the April-June 2021 issue of the Hamdan Medical Journal. They reported a case of tuberculous splenic abscess in a non-human immunodeficiency virus (HIV) female patient, aged 22 years, from India. It is well-known that due to a compromised immune status, HIV-infected patients are venerable to different types of infections, including tuberculosis (TB). Extrapulmonary TB is not uncommon among such patients. Interestingly, splenic lesions were detected with ultrasonography in 21% of HIV-positive patients and TB diagnosed by smear, biopsy, culture or molecular methods was reported to be the cause of 88.3% of splenic microabscesses found on ultrasonography in such patients. India is among Asian countries importantly affected by HIV and TB infections. The available data pointed out that among TB patients in India, 12% were HIV-positive, and of these, 40% were newly diagnosed. Claiming the immunocompetent status in the case in question based on the negative enzyme-linked immunosorbent assay (ELIZA) as Juneja and Jhamb stated is questionable. The 4th-generation combining HIV antibody and p24 antigen test could better detect early HIV infection. It has a sensitivity and specificity of 100% and 97.8%, respectively. I presume that TB should be considered seriously in the studied patient. Juneja and Jhamb ought to in-depth evaluate the HIV status in their studied patient by employing a more advanced diagnostic tool such as the above-mentioned test rather than solely relying upon ELIZA. Documenting HIV positivity in the case in question would make it the second case report of HIV-associated TB splenic abscess in the Indian literature. The first case was reported in a 40-year-old female.
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Conflicts of interest
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| References|| |
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