HIV co-infection in HTLV-1 carriers in Spain

Human retroviruses HIV and HTLV share transmission routes. HIV widely spread in Spain during the 80 s through injection drug use and sex, and nowadays HIV rates in Spain account for one of the largest in Europe. In contrast, HTLV-1 is not endemic in Spain, despite hosting huge numbers of migrants fr...

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Veröffentlicht in:Virus research 2019-06, Vol.266, p.48-51
Hauptverfasser: de Mendoza, Carmen, Caballero, Estrella, Aguilera, Antonio, Benito, Rafael, Maciá, Dolores, García-Costa, Juan, Soriano, Vicente
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container_end_page 51
container_issue
container_start_page 48
container_title Virus research
container_volume 266
creator de Mendoza, Carmen
Caballero, Estrella
Aguilera, Antonio
Benito, Rafael
Maciá, Dolores
García-Costa, Juan
Soriano, Vicente
description Human retroviruses HIV and HTLV share transmission routes. HIV widely spread in Spain during the 80 s through injection drug use and sex, and nowadays HIV rates in Spain account for one of the largest in Europe. In contrast, HTLV-1 is not endemic in Spain, despite hosting huge numbers of migrants from highly endemic regions. Herein, we report the rate and main features of the HIV-HTLV co-infected population in Spain. A national registry exists in Spain for HTLV since year 1989. Data from standardized case report forms and one centralized lab repository were reviewed, especially for the subset with HTLV-HIV co-infection. Up to December 2018, a total of 369 individuals with HTLV-1 had been diagnosed in Spain. 64% of the population were females, and Latin American individuals accounted for 64.5%. Classical HTLV-associated illnesses were found in 12.7% (myelopathy) and 7.6% (leukemia). HIV coinfection was found in 12 (3.2%). Of those, 3 patients (25%) were female and 39 (75%) were of non-Spanish origin. All but two harbored HIV-1 subtype B, being non-B variants found in the two West Africans. Exposure had been sexual in most cases, being 4 homosexual men. Seven HTLV-HIV co-infected patients had developed AIDS and two had developed myelopathy. There was no evidence for increased HTLV-1 clinical pathogenicity due to HIV coinfection. HIV coinfection is infrequent (
doi_str_mv 10.1016/j.virusres.2019.04.004
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HIV widely spread in Spain during the 80 s through injection drug use and sex, and nowadays HIV rates in Spain account for one of the largest in Europe. In contrast, HTLV-1 is not endemic in Spain, despite hosting huge numbers of migrants from highly endemic regions. Herein, we report the rate and main features of the HIV-HTLV co-infected population in Spain. A national registry exists in Spain for HTLV since year 1989. Data from standardized case report forms and one centralized lab repository were reviewed, especially for the subset with HTLV-HIV co-infection. Up to December 2018, a total of 369 individuals with HTLV-1 had been diagnosed in Spain. 64% of the population were females, and Latin American individuals accounted for 64.5%. Classical HTLV-associated illnesses were found in 12.7% (myelopathy) and 7.6% (leukemia). HIV coinfection was found in 12 (3.2%). Of those, 3 patients (25%) were female and 39 (75%) were of non-Spanish origin. All but two harbored HIV-1 subtype B, being non-B variants found in the two West Africans. Exposure had been sexual in most cases, being 4 homosexual men. Seven HTLV-HIV co-infected patients had developed AIDS and two had developed myelopathy. There was no evidence for increased HTLV-1 clinical pathogenicity due to HIV coinfection. HIV coinfection is infrequent (&lt;5%) among HTLV-1 carriers in Spain. More than half of co-infected patients come from Latin America. Sexual contact is the most frequent risk behavior, being MSM one third of cases. 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HIV widely spread in Spain during the 80 s through injection drug use and sex, and nowadays HIV rates in Spain account for one of the largest in Europe. In contrast, HTLV-1 is not endemic in Spain, despite hosting huge numbers of migrants from highly endemic regions. Herein, we report the rate and main features of the HIV-HTLV co-infected population in Spain. A national registry exists in Spain for HTLV since year 1989. Data from standardized case report forms and one centralized lab repository were reviewed, especially for the subset with HTLV-HIV co-infection. Up to December 2018, a total of 369 individuals with HTLV-1 had been diagnosed in Spain. 64% of the population were females, and Latin American individuals accounted for 64.5%. Classical HTLV-associated illnesses were found in 12.7% (myelopathy) and 7.6% (leukemia). HIV coinfection was found in 12 (3.2%). Of those, 3 patients (25%) were female and 39 (75%) were of non-Spanish origin. All but two harbored HIV-1 subtype B, being non-B variants found in the two West Africans. Exposure had been sexual in most cases, being 4 homosexual men. Seven HTLV-HIV co-infected patients had developed AIDS and two had developed myelopathy. There was no evidence for increased HTLV-1 clinical pathogenicity due to HIV coinfection. HIV coinfection is infrequent (&lt;5%) among HTLV-1 carriers in Spain. More than half of co-infected patients come from Latin America. Sexual contact is the most frequent risk behavior, being MSM one third of cases. 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purification</subject><subject>Humans</subject><subject>Late diagnosis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Registries</subject><subject>Risk Factors</subject><subject>Spain - epidemiology</subject><subject>Tropical spastic paraparesis</subject><issn>0168-1702</issn><issn>1872-7492</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LAzEQhoMotlb_QtmjB3fNJNmP3JSitlDwYO01ZJNZSGl3a9It-O_N0urVwzAwPO8M8xAyBZoBheJxkx2d74PHkDEKMqMio1RckDFUJUtLIdklGUewSqGkbERuQthQSgteFtdkxKmUlcz5mDzMF-vEdKlrGzQH17WJa5P5arlOITHae4c-DKOPvXbtLblq9Dbg3blPyOfry2o2T5fvb4vZ8zI1vKgOKXDKsbRQokFDgbEmNw3TAi3qBiue10MZy3NdM5C8rKysrRS1yCuExvAJuT_t3fvuq8dwUDsXDG63usWuD4oxACmE5BDR4oQa34Woo1F773bafyugajClNurXlBpMKSpUNBWD0_ONvt6h_Yv9qonA0wnA-OkxelDBOGwNWuejKmU799-NH53qfDM</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>de Mendoza, Carmen</creator><creator>Caballero, Estrella</creator><creator>Aguilera, Antonio</creator><creator>Benito, Rafael</creator><creator>Maciá, Dolores</creator><creator>García-Costa, Juan</creator><creator>Soriano, Vicente</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201906</creationdate><title>HIV co-infection in HTLV-1 carriers in Spain</title><author>de Mendoza, Carmen ; 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purification</topic><topic>Humans</topic><topic>Late diagnosis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Registries</topic><topic>Risk Factors</topic><topic>Spain - epidemiology</topic><topic>Tropical spastic paraparesis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Mendoza, Carmen</creatorcontrib><creatorcontrib>Caballero, Estrella</creatorcontrib><creatorcontrib>Aguilera, Antonio</creatorcontrib><creatorcontrib>Benito, Rafael</creatorcontrib><creatorcontrib>Maciá, Dolores</creatorcontrib><creatorcontrib>García-Costa, Juan</creatorcontrib><creatorcontrib>Soriano, Vicente</creatorcontrib><creatorcontrib>on behalf of the Spanish HTLV Network</creatorcontrib><creatorcontrib>Spanish HTLV Network</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Virus research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Mendoza, Carmen</au><au>Caballero, Estrella</au><au>Aguilera, Antonio</au><au>Benito, Rafael</au><au>Maciá, Dolores</au><au>García-Costa, Juan</au><au>Soriano, Vicente</au><aucorp>on behalf of the Spanish HTLV Network</aucorp><aucorp>Spanish HTLV Network</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HIV co-infection in HTLV-1 carriers in Spain</atitle><jtitle>Virus research</jtitle><addtitle>Virus Res</addtitle><date>2019-06</date><risdate>2019</risdate><volume>266</volume><spage>48</spage><epage>51</epage><pages>48-51</pages><issn>0168-1702</issn><eissn>1872-7492</eissn><abstract>Human retroviruses HIV and HTLV share transmission routes. 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All but two harbored HIV-1 subtype B, being non-B variants found in the two West Africans. Exposure had been sexual in most cases, being 4 homosexual men. Seven HTLV-HIV co-infected patients had developed AIDS and two had developed myelopathy. There was no evidence for increased HTLV-1 clinical pathogenicity due to HIV coinfection. HIV coinfection is infrequent (&lt;5%) among HTLV-1 carriers in Spain. More than half of co-infected patients come from Latin America. Sexual contact is the most frequent risk behavior, being MSM one third of cases. Late diagnosis explains the high rate (9/12) of clinical manifestations in our HIV-HTLV co-infected population.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>30998953</pmid><doi>10.1016/j.virusres.2019.04.004</doi><tpages>4</tpages></addata></record>
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subjects Adult
Adult T-cell leukemia
AIDS
Antiretroviral therapy
Carrier State - epidemiology
Carrier State - pathology
Carrier State - physiopathology
Carrier State - virology
Co-infection
Coinfection - epidemiology
Coinfection - virology
Emigrants and Immigrants
Epidemiology
Female
HIV
HIV Infections - epidemiology
HIV Infections - virology
HIV-1 - isolation & purification
HTLV
HTLV-I Infections - epidemiology
HTLV-I Infections - pathology
HTLV-I Infections - physiopathology
HTLV-I Infections - virology
Human T-lymphotropic virus 1 - isolation & purification
Humans
Late diagnosis
Male
Middle Aged
Registries
Risk Factors
Spain - epidemiology
Tropical spastic paraparesis
title HIV co-infection in HTLV-1 carriers in Spain
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