Rajabalendaran N, Burns R, Mollison L C, Blessing W, Kirubakaran M G, Lindschau P
Department of Medicine, Alice Springs Hospital, NT.
Med J Aust. 1993 Jul 5;159(1):28-9. doi: 10.5694/j.1326-5377.1993.tb137700.x.
To present the first documented case of human T-lymphotropic virus type I (HTLV-I) associated myelopathy/tropical spastic paraparesis in the Australian population.
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.
He was counselled regarding HTLV-I associated myelopathy/tropical spastic paraparesis.
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.
报告澳大利亚人群中首例有文献记载的1型人类嗜T淋巴细胞病毒（HTLV-I）相关脊髓病/热带痉挛性截瘫病例。
一名31岁的原住民男性，有18个月腿部进行性无力病史，发现四肢存在上运动神经元性无力，并伴有括约肌功能障碍和阳痿。其血清中检测到HTLV-I抗体，未发现该患者脊髓病的其他病因。
就HTLV-I相关脊髓病/热带痉挛性截瘫对其进行了咨询。
这是澳大利亚首例HTLV-I相关脊髓病/热带痉挛性截瘫的描述。对于无压迫证据的脊髓疾病病例，我们建议进行HTLV-I血清学检测，尤其是在原住民患者中。此外，需要考虑对献血者进行这种逆转录病毒的检测。
