Tropical spastic paraparesis in an aborigine
- PMID: 8316109
- DOI: 10.5694/j.1326-5377.1993.tb137700.x
Tropical spastic paraparesis in an aborigine
Abstract
Objective: To present the first documented case of human T-lymphotropic virus type I (HTLV-I) associated myelopathy/tropical spastic paraparesis in the Australian population.
Clinical features: A 31-year-old Aboriginal man with an 18-month history of progressive weakness of the legs was found to have an upper motor neurone weakness of all limbs associated with sphincteric disturbance and impotence. HTLV-I antibodies were detected in his serum and no other cause for the patient's myelopathy could be found.
Intervention and outcome: He was counselled regarding HTLV-I associated myelopathy/tropical spastic paraparesis.
Conclusion: This is the first description of HTLV-I associated myelopathy/tropical spastic paraparesis in an Australian. In cases of spinal cord disorder without evidence of compression we recommend serological testing for HTLV-I, especially in Aboriginal patients. Additionally, testing of blood donors for this retrovirus needs consideration.
Comment in
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HTLV-I in Australia.Med J Aust. 1993 Jul 5;159(1):3-4. doi: 10.5694/j.1326-5377.1993.tb137690.x. Med J Aust. 1993. PMID: 8316111 No abstract available.
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