We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Acute myelitis as presenting symptom of HIV-HTLV-1 co-infection.
- Authors
Cucca, A.; Stragapede, L.; Antonutti, L.; Catalan, M.; Caracciolo, I.; Valentinotti, Romina; Granato, A.; D'Agaro, P.; Manganotti, P.
- Abstract
A 21-year-old woman presented with acute-onset spastic paraparesis. The MRI spinal scan revealed a contrast-enhanced T2 hyperintensity between C5-T2. The most common neurotropic pathogens were excluded by first level tests. Under suspicion of an acute immune-mediated myelitis, a corticosteroid therapy was administered. However, a seropositivity for both human immunodeficiency virus (HIV) type 1 and human T-lymphotropic virus (HTLV) subsequently emerged. An antiretroviral therapy was started while steroids discontinued. Patient's clinical conditions remained unchanged. HIV-HTLV-1 co-infection should be included in the differential diagnosis of any acute myelitis, even in patients with a preserved immune status and no risk factors.
- Subjects
HIV infections; MYELITIS; HTLV-I infections; MIXED infections; PARAPARESIS; MAGNETIC resonance imaging
- Publication
Journal of NeuroVirology, 2016, Vol 22, Issue 6, p861
- ISSN
1355-0284
- Publication type
Article
- DOI
10.1007/s13365-016-0455-2