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| LETTER TO EDITOR |
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| Year : 2018 | Volume
: 5
| Issue : 2 | Page : 15 |
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Necrotizing pneumonia or pulmonary gangrene
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
| Date of Web Publication | 29-May-2020 |
Correspondence Address:
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, PO Box 55302, Baghdad Post Office, Baghdad
Iraq
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/cai.cai_7_18
How to cite this article:
Al-Mendalawi MD. Necrotizing pneumonia or pulmonary gangrene. Community Acquir Infect 2018;5:15 |
Dear Editor,
I read the interesting case report by Carpio-Orantes on the necrotizing pneumonia (NP) caused by Staphylococcusepidermidis in a 26-year-old Mexican patient.[1] The author described nicely the clinical picture, laboratory and imaging findings, and treatment plan in the studied patient. I presume that the rapid escalating clinical course culminating in death should alert the authors to consider jeopardized immune status. Among jeopardized immune states, infection with human immunodeficiency virus (HIV) is paramount. It is explicit that apart from neoplasms, immunocompromised individuals are more vulnerable to various types of infections compared to immunocompetent individuals. The increased vulnerability has been attributed to different factors, notably immunosuppression, coinfection with oncogenic viruses, and life prolongation secondary to the use of antiretroviral therapy.[2] To my knowledge, HIV epidemic is maturing in Mexico. The recently published data pointed out to 0.3% adult HIV prevalence rate.[3] Hence, HIV testing through blood CD4 lymphocyte count and viral overload measurements in the studied patient was solicited. I presume that documenting HIV reactivity in the case in question could expand the etiological spectrum of HIV-associated bacterial NP rarely reported in the world literature.[4],[5] Regrettably, the studied patient passed away before contemplating HIV testing.
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
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Carpio-Orantes LD. Necrotizing pneumonia or pulmonary gangrene. Community Acquir Infect 2017;4:56-8.  [Full text] |
| 2. | Valencia Ortega ME. Malignancies and infection due to the human immunodeficiency virus. Are these emerging diseases? Rev Clin Esp 2018;218:149-55. |
| 3. | |
| 4. | Chetchotisakd P, Anunnatsiri S, Puapermpoonsiri S, Prariyachatgul C, Chumpol J. A rapidly fatal case of Panton-valentine leukocidin positive Staphylococcus aureus necrotizing pneumonia in an HIV-infected patient. Southeast Asian J Trop Med Public Health 2007;38:690-4. |
| 5. | Pintado V, Navas E, Moreno L, Moreno ME. Necrotizing pneumonia due to Salmonella sp. complicated by pneumothorax in a patient infected with the human immunodeficiency virus. Enferm Infecc Microbiol Clin 1999;17:536-8. |
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