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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Clinical presentation of individuals with human T-cell leukemia virus type-1 infection in Spain
Open Forum Infectious Diseases, Volume 6, No. 2, Year 2019
Notification
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Description
Background. Although only 8%-10% of persons infected with human T-cell leukemia virus type 1 (HTLV-1) may develop virus-associated diseases lifelong, misdiagnosis of asymptomatic infected carriers frequently leads to late diagnoses. Methods. A nationwide HTLV-1 register was created in Spain in 1989. A total of 351 infected persons had been reported by the end of 2017. We examined all new HTLV-1 diagnoses during the last decade and compared their clinical presentation. Results. A total of 247 individuals with HTLV-1 infection had been reported in Spain since year 2008. The incidence has remained stable with 20-25 new diagnoses yearly. Women represented 62%. Only 12% were native Spaniards, most of whom were foreigners from Latin America (72.5%). Up to 57 (23%) individuals presented clinically with HTLV-1-associated conditions, including subacute myelopathy (n = 24; 42.1%), T-cell lymphoma (n = 19; 33.3%), or Strongyloides stercoralis infestation (n = 8; 14%). Human T-cell leukemia virus type 1 diagnosis had been made either at blood banks (n = 109; 44%) or at clinics (n = 138; 56%). It is interesting to note that Spaniards and especially Africans were overrepresented among patients presenting with HTLV-1-associated illnesses, suggesting that misdiagnosis and late presentation are more frequent in these populations compared to Latin Americans. Conclusions. Given that 23% of new HTLV-1 diagnoses in Spain are symptomatic, underdiagnosis must be common. Although screening in blood banks mostly identifies asymptomatic Latin American carriers, a disproportionately high number of Spaniards and Africans are unveiled too late, that is, they already suffer from classic HTLV-1 illnesses. © The Author(s) 2019.
Authors & Co-Authors
de-Mendoza, Carmen
Spain, Majadahonda
Hospital Universitario Puerta de Hierro Majadahonda
Pirón, María
Unknown Affiliation
Benito, R.
Spain, Zaragoza
Hospital Clinico Universitario Lozano Blesa
Ramos-Rincón, José Manuel
Spain, Alicante
Hospital General Universitario de Alicante
Soriano, Vicente Vicente
Spain, Madrid
Hospital Universitario la Paz
Spain, Logrono
International University of la Rioja
Rodríguez, Carmen
Unknown Affiliation
del Romero, Jorge D.
Unknown Affiliation
Molina, Israel
Spain, Barcelona
Hospital Universitari Vall D'hebron
Aguilera, Antonio
Unknown Affiliation
Algarate, S.
Spain, Zaragoza
Hospital Clinico Universitario Lozano Blesa
de Lejarazu, Raúl Ortíz
Spain, Valladolid
Hospital Clínico Universitario de Valladolid
Eiros-Bouza, José María
Spain, Valladolid
Hospital Clínico Universitario de Valladolid
Spain, Valladolid
Hospital Universitario Río Hortega
Manzardo, Christian
Spain, Barcelona
Institut D'investigacions Biomèdiques August pi I Sunyer - Idibaps
Miró, José Mª
Spain, Barcelona
Institut D'investigacions Biomèdiques August pi I Sunyer - Idibaps
García, Juan González
Unknown Affiliation
Poveda, Eva
Spain, La Coruna
Complejo Hospitalario
Calderón, Enrique J.
Spain, Madrid
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública
Iglesias, M. A.R.
Spain, Cadiz
Hospital Universitario de Puerto Real
Gutieŕrez, Félix
Unknown Affiliation
Cilla, Gustavo
Spain, Donostia-san Sebastian
Osakidetza, Donostia University Hospital
Pérez-Trallero, Emilio
Spain, Donostia-san Sebastian
Osakidetza, Donostia University Hospital
Montejo, Jose M.
Spain, Baracaldo
Osakidetza, Cruces University Hospital
Górgolas, Miguel
Spain, Madrid
Fundación Jiménez Díaz
Sauleda, Sílvia
Unknown Affiliation
Torres, Pilar
Unknown Affiliation
Fernández, Marcos Sánchez
Spain, Madrid
Hospital Universitario 12 de Octubre
Barreiro, Pablo M.
Spain, Madrid
Hospital Universitario la Paz
Corral-Pazos de Provens, Octavio Jorge
Spain, Logrono
International University of la Rioja
Gómez-Gallego, Félix
Spain, Logrono
International University of la Rioja
Statistics
Citations: 7
Authors: 29
Affiliations: 40
Identifiers
Doi:
10.1093/ofid/ofz036
ISSN:
23288957
Study Design
Cohort Study
Participants Gender
Female