J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 517KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 91(12): 1808-1811, 1990

Case report

TWO CASES OF HTLV-I ASSOCIATED MYELOPATHY (HAM) AFTER CARDIAC OPERATION

The Department of Surgery, The Nagoya First Red Cross Hospital, Nagoya, Japan
*) Department of Thoracic Surgery, Nagoya University School of Medicine, Nagoya, Japan

Toshiaki Akita*), Shuhei Hayase, Yo Yano, Kuniyasu Ogawa, Hayao Hiramatsu, Tatsuo Hattori

Sixty-one and 51-year-old males had progressive walk disturbance after cardiac operations at the intervals of 1 and 2 years. They had received blood transfusion at their operations. Physical examination revealed spastic paraparesis, sensory disturbance of the lower and rectobladder disorder. High titers of anti-Human T- lymphotrophic Virus type-I (HTLV-I) antibody were found in sera and CNF in both cases. They were diagnosed as HTLV-I associated myelopathy (HAM). Because they lived in Aichi Prefecture where the virus is non-epidemic, they were possibly infected through the blood transfusion at their operations. For prevention of HAM, the anti-HTLV-I antibody of all donor blood should be checked before transfusion.

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