Tuberculous meningoencephalomyelitis and coinfection with HTLV-I + HTLV-II: case report

Arquivos de neuro-psiquiatria
Marcio Menna-Barreto, Denise C Machado

Abstract

HTLV-I and HTLV-II are endemic in some areas of Brazil, where an associated disease, HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP) have been diagnosed in significant number of infected individuals. Tuberculosis has been demonstrated among those individuals, with higher prevalence than in the general population, suggesting that there is an increased risk for this comorbidity. We report the case of an individual coinfected with HTLV-I and HTLV-II, suffering from an insidious meningoencephalomyelitis caused by Mycobacterium tuberculosis. The patient was a 44 years old man successfully treated with steroids and antituberculous drugs, improving clinically and turning to a negative PCR and to a normal blood-cerebrospinal fluid barrier.

References

Sep 1, 1995·Arquivos de neuro-psiquiatria·O A Moreno-CarvalhoB Galvão-Castro
Jan 1, 1996·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·W W HallT Kurata
Jul 1, 1996·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·B J Marsh
May 1, 1997·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·R A Seaton

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