Letter to the Editor

Eosinophilia in HIV-Infected Cases

Authors: Sin Sai Tin, MD, Viroj Wiwanitkit, MD


To the Editor: The authors of the article, "Eosinophilia and Associated Factors in a Large Cohort of Patients Infected with Human Immunodeficiency Virus" noted that "eosinophilia is not an infrequent occurrence among ART (antiretroviral therapy)-naïve HIV (human immunodeficiency virus)-infected patients."1 In fact, the prevalence and cause of eosinophilia in HIV-infected cases may be different in different settings. In developing tropical countries, the problem may be prevalent and can be the result of parasitic infestation. In the article, Al Mohajer et al noted that hookworm can be detected.1 In a previous report from Honduras, the prevalence of parasitic infestation among individuals infected with HIV is as high as 67%.2

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1. Al MohajerM, Villarreal-Williams E, Andrade RA, et al. Eosinophilia and associated factors in a large cohort of patients infected with human immunodeficiency virus. South Med J 2014;107:554-558.
2. Kaminsky RG, Soto RJ, Campa A, et al. Intestinal parasitic infections and eosinophilia in an human immunedeficiency virus positive population in Honduras. Mem Inst Oswaldo Cruz 2004;99:773-778.
3. Sivaram M, White A, Radcliffe KW. Eosinophilia: clinical significance in HIV-infected individuals. Int J STD AIDS 2012;23:635-638.