Human T-cell lymphotropic virus-I in Latin America.

Abstract:

:HTLV-1 infection is endemic in several Latin American countries. HTLV-1-associated myelophathy/tropical spastic paraparesis (HAM/TSP) and adult T-cell leukemia lymphoma (ATLL) are emerging diseases in the region. Documented risk factors for acquiring the virus include breast-feeding, contaminated blood transfusion, and sexual intercourse, all of which are amenable to prevention efforts. Strongyloides stercoralis hyperinfection syndrome and therapeutic failure in apparently healthy patients with nondisseminated strongyloidiasis may be markers of HTLV-1 infection. HTLV-1 co-infection may adversely effect the clinical course of scabies and HIV disease. The new enzyme-linked immunosorbent assays (ELISA) are sensitive and specific, and Western blot technology is reliable for differentiating HTLV-1 from less common HTLV-2. HTLV-1 screening of blood donors and individuals with any disorder that suggests infection has become a necessity in Latin America to prevent the spread of this important emerging pathogen.

authors

Gotuzzo E,Arango C,de Queiroz-Campos A,Istúriz RE

doi

10.1016/s0891-5520(05)70225-7

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

211-39, x-xi

issue

1

eissn

0891-5520

issn

1557-9824

pii

S0891-5520(05)70225-7

journal_volume

14

pub_type

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