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HTLV-I-associated meningitis.

T Yokota1, M Yamada, T Furukawa

  • 1Department of Neurology, Tokyo Medical and Dental University, Japan.

Journal of Neurology
|January 1, 1988
PubMed
Summary

Human T-cell lymphotropic virus type I (HTLV-I) associated myelopathy can lead to acute meningitis. Cerebrospinal fluid analysis revealed cells resembling adult T-cell leukemia/lymphoma, suggesting a direct link.

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Area of Science:

  • Neurology
  • Oncology
  • Infectious Diseases

Background:

  • Human T-cell lymphotropic virus type I (HTLV-I) is linked to chronic myelopathy.
  • Adult T-cell leukemia/lymphoma (ATL) is a malignancy associated with HTLV-I.

Observation:

  • A 69-year-old woman presented with HTLV-I positive chronic myelopathy.
  • The patient developed acute meningitis and became comatose.

Findings:

  • Cerebrospinal fluid (CSF) analysis showed a predominance of cells similar to those in ATL.
  • This finding suggests a direct neoplastic or inflammatory process involving HTLV-I in the central nervous system.

Implications:

  • HTLV-I infection can manifest with acute neurological complications beyond chronic myelopathy.
  • The presence of ATL-like cells in CSF indicates a potential link between HTLV-I, meningitis, and T-cell malignancies.
  • Further research is needed to understand the pathogenesis of HTLV-I meningitis and its relationship to ATL.

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