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LETTER TO EDITOR
Year : 2019  |  Volume : 8  |  Issue : 2  |  Page : 149

Burkitt's lymphoma of intestine presenting as ileocolic intussusception: An atypical presentation


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

Date of Web Publication14-May-2019

Correspondence Address:
Prof. Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, P. O. Box: 55302, Baghdad Post Office, Baghdad
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijhas.IJHAS_70_18

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How to cite this article:
Al-Mendalawi MD. Burkitt's lymphoma of intestine presenting as ileocolic intussusception: An atypical presentation. Int J Health Allied Sci 2019;8:149

How to cite this URL:
Al-Mendalawi MD. Burkitt's lymphoma of intestine presenting as ileocolic intussusception: An atypical presentation. Int J Health Allied Sci [serial online] 2019 [cited 2019 May 21];8:149. Available from: http://www.ijhas.in/text.asp?2019/8/2/149/258185



Sir,

I read the interesting case report by Sharma et al. on Burkitt's lymphoma (BL) of intestine presenting as ileocolic intussusception in a 4-year-old Indian boy.[1] I assume that the highly malignant and aggressive nature of that neoplasm as well as its atypical presentation in the studied patient should alert the authors to consider defective immune status. Among conditions associated with defective immunity, infection with human immunodeficiency virus (HIV) has a great priority. This is based on the following point. It is explicit that children with perinatal exposure to HIV are at increased risk to various neoplasms compared to nonexposed counterparts.[2] To my knowledge, HIV infection is a serious health hazard in India. Although no recent data are yet present on the pediatric HIV seroprevalence, the available data pointed out to the substantial HIV seroprevalence rate of 1.03% among pregnant in India.[3] Regrettably, the HIV states of the studied boy and his mother were not tested. I assume that some sort of vertical HIV transmission ought to be considered in the studied boy. Therefore, achieving the diagnostic battery of CD4 lymphocyte count and viral overload measurements was solicited in the studied patient. If that battery was to reveal HIV reactivity, the case in question could surely widen the spectrum of atypical presentation of HIV-associated BL already reported in the world literature.[4],[5]

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 Top

1.
Sharma P, Zaheer S, Chowdhury S, Mandal AK. Burkitt's lymphoma of intestine presenting as ileocolic intussusception: An atypical presentation. Int J Health Allied Sci 2018;7:207-9.  Back to cited text no. 1
  [Full text]  
2.
Kest H, Brogly S, McSherry G, Dashefsky B, Oleske J, Seage GR 3rd, et al. Malignancy in perinatally human immunodeficiency virus-infected children in the United States. Pediatr Infect Dis J 2005;24:237-42.  Back to cited text no. 2
    
3.
Sibia P, Mohi MK, Kumar A. Seroprevalence of human immunodeficiency virus among antenatal women in one of the institute of Northern India. J Clin Diagn Res 2016;10:QC08-9.  Back to cited text no. 3
    
4.
Woodcock H, Nelson M. Burkitt's non-hodgkins lymphoma presenting as facial nerve palsy in HIV-positive patients. Int J STD AIDS 2011;22:112-4.  Back to cited text no. 4
    
5.
Rogers A, Graves M, Toscano M, Davis L. A unique cutaneous presentation of Burkitt lymphoma. Am J Dermatopathol 2014;36:997-1001.  Back to cited text no. 5
    




 

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