Delamarter R B, Carr J, Saxton E H
Division of Orthopaedic Surgery, UCLA School of Medicine 90024.
Clin Orthop Relat Res. 1990 Nov(260):191-4.
This may be the first documented case in the United States and in the orthopedic literature of transfusion-transmitted human T-cell leukemia virus Type I (HTLV-I)-associated myelopathy (HAM). Progressive myelopathy occurred in a 58-year-old white man with serologic and molecular evidence of HTLV-I infection after multiple trauma and subsequent transfusion with multiple units of banked blood products. Symptoms of myelopathy occurred 15 months after the transfusions. Myelopathy from HTLV-I infection simulates a disorder of orthopedic interest. Physicians should be aware of the symptoms of HAM and unexplained myelopathy.
这可能是美国及骨科文献中首例有记录的输血传播的I型人类T细胞白血病病毒（HTLV-I）相关脊髓病（HAM）病例。一名58岁白人男性在多处创伤并随后输注多单位库存血液制品后，出现了具有HTLV-I感染血清学和分子学证据的进行性脊髓病。脊髓病症状在输血后15个月出现。HTLV-I感染所致的脊髓病类似于一种骨科关注的疾病。医生应了解HAM和不明原因脊髓病的症状。
