|LETTERS TO EDITOR
|Year : 2019 | Volume
| Issue : 2 | Page : 182-183
A rare variety of pulmonary blastoma: A case report and review of literature
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
|Date of Web Publication||4-Jun-2019|
Prof. Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, P.O. Box 55302, Baghdad Post Office, Baghdad
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Al-Mendalawi MD. A rare variety of pulmonary blastoma: A case report and review of literature. Indian J Health Sci Biomed Res 2019;12:182-3
I had good time reading the interesting case report by Devi et al. published in the September–December 2018 issue of the Indian J Health Sci Biomed Res. The authors nicely described the clinical pictures, diagnostic protocol, and treatment plan of the very rare case of pulmonary blastoma (PB) in a 19-year-old Indian patient. I assume that the development of that very rare tumor should trigger the authors to consider defective immune status in the studied patient. Among conditions associated with defective immunity, human immunodeficiency virus (HIV) infection is of utmost importance. My assumption is based on the following point. It is obvious that, due to immunosuppression, coinfection with oncogenic viruses, and life extension due to the use of antiretroviral treatment, patients with HIV infection are more susceptible to various types of tumors compared to those with healthy immune system. To my knowledge, HIV infection is a distressing health hazard in India. The available data pointed out to 0.26% HIV seroprevalence compared with a global average of 0.2%. Hence, HIV testing through the diagnostic algorithm of blood CD4 lymphocyte count and viral overload estimations was envisaged in the studied patient. If that algorithm was to disclose HIV reactivity, the case in question could be confidently considered a novel case report. This is because HIV-associated PB has never been reported in the published literature to date.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Devi LP, Das U, Marak R, Kalita JP, Khongla Y, Wankhar B, et al
. A rare variety of pulmonary blastoma: A case report and review of literature. Indian J Health Sci Biomed Res 2018;11:289-92. [Full text]
Valencia Ortega ME. Malignancies and infection due to the human immunodeficiency virus. Are these emerging diseases? Rev Clin Esp 2018;218:149-55.
Paranjape RS, Challacombe SJ. HIV/AIDS in India: An overview of the Indian epidemic. Oral Dis 2016;22 Suppl 1:10-4.