RESUMO
La infección por el virus linfotrópico humano de células T tipo 1 (HTLV-1) (HTLV-I), presenta una distribución mundial, estimándose que está propagándose hacia áreas no endémicas para convertirse en un problema de salud pública. La coinfección del HTLV-1 con Strongyloides stercoralis y manifestaciones digestivas no es infrecuente, pero sí lo es la asociación simultánea con otros agentes patógenos ocasionando infecciones bacterianas y onicomicosis múltiple. Presentamos un paciente de 34 años con tales coinfecciones, pero además con compromiso vascular periférico. Se discuten aspectos de la patogenia del HTLV-1, la coinfección con el nemátodo y con los agentes patógenos simultáneos señalados, sugiriendo solicitar la prueba para HTLV-1 en tales casos...
The infection caused by the human T-cell lymphotropic virus type 1 (HTLV-1) (HTLV-I) has a worldwide distribution. This condition has a worldwide distribution and now it is spreading towards non-endemic areas and it is becoming a public health problem. It is not unusual to see patients with HTLV-1 coinfected with Strongyloides stercoralis and presenting with digestive manifestations, but it is less frequent to find the additional occurrence of other pathogens leading to bacterial infections and multiple onychomycosis. We present the case of a 34-year old man with all those coinfections with peripheral vascular involvement. Some aspects of HTLV-1 pathogenesis are discussed, emphasizing the presence of this virus and the other associated pathogens, and we suggest that tests for determining the presence of HTLV-1 infection may be requested in such cases...
Assuntos
Humanos , Masculino , Adulto , Estrongiloidíase , Onicomicose , Vírus Linfotrópico T Tipo 1 HumanoRESUMO
The infection caused by the human T-cell lymphotropic virus type 1 (HTLV-1) (HTLV-I) has a worldwide distribution. This condition has a worldwide distribution and now it is spreading towards non-endemic areas and it is becoming a public health problem. It is not unusual to see patients with HTLV-1 coinfected with Strongyloides stercoralis and presenting with digestive manifestations, but it is less frequent to find the additional occurrence of other pathogens leading to bacterial infections and multiple onychomycosis. We present the case of a 34-year old man with all those coinfections with peripheral vascular involvement. Some aspects of HTLV-1 pathogenesis are discussed, emphasizing the presence of this virus and the other associated pathogens, and we suggest that tests for determining the presence of HTLV-1 infection may be requested in such cases.
