HTLV type 1 and 2 are both involved in actively spreading epidemics, affecting over 15
million people worldwide. HTLV-1 has been described as the more clinically significant one,
being associated with diseases such as adult T-cell leukemia and tropical spastic
paraparesis. We report here a case of tropical spastic paraparesis in an HIV-positive patient
who did not report any history of travel or residence in an HTLV endemic area. A 57 year old
African-American male was admitted to the hospital due to bilateral upper and lower …