@article {8488, title = {Acute myelitis as presenting symptom of HIV-HTLV-1 co-infection.}, journal = {J Neurovirol}, year = {2016}, month = {2016 May 31}, abstract = {

A 21-year-old woman presented with acute-onset spastic paraparesis. The MRI spinal scan revealed a contrast-enhanced T2 hyperintensity between C5-T2. The most common neurotropic pathogens were excluded by first level tests. Under suspicion of an acute immune-mediated myelitis, a corticosteroid therapy was administered. However, a seropositivity for both human immunodeficiency virus (HIV) type 1 and human T-lymphotropic virus (HTLV) subsequently emerged. An antiretroviral therapy was started while steroids discontinued. Patient{\textquoteright}s clinical conditions remained unchanged. HIV-HTLV-1 co-infection should be included in the differential diagnosis of any acute myelitis, even in patients with a preserved immune status and no risk factors.

}, issn = {1538-2443}, doi = {10.1007/s13365-016-0455-2}, author = {Cucca, A and Stragapede, L and Antonutti, L and Catalan, M and Caracciolo, I and Valentinotti, Romina and Granato, A and D{\textquoteright}Agaro, P and Manganotti, P} }