Primary HIV Infection with Acute Transverse Myelitis

Yohei Hamada; Koji Watanabe; Takahiro Aoki; Noritoshi Arai; Miwako Honda; Yoshimi Kikuchi; Shinichi Oka

doi:10.2169/internalmedicine.50.5186

CASE REPORTS

Primary HIV Infection with Acute Transverse Myelitis

Yohei Hamada, Koji Watanabe, Takahiro Aoki, Noritoshi Arai, Miwako Honda, Yoshimi Kikuchi, Shinichi Oka

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Keywords: acute transverse myelitis, primary HIV infection, cART

JOURNAL OPEN ACCESS

2011 Volume 50 Issue 15 Pages 1615-1617

DOI https://doi.org/10.2169/internalmedicine.50.5186

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Abstract

Primary HIV infection (PHI) is associated with various neurological disorders. However, acute transverse myelitis (ATM) complicating PHI has not been reported after the introduction of the combination antiretroviral therapy (cART). We encountered one patient with known PHI with clinical presentation of ATM. Treatment with cART and corticosteroids successfully improved symptoms, and no recurrence was noted after discontinuation of cART. In conclusion, concurrent use of cART and corticosteroids was effective against PHI accompanied by ATM and could be withdrawn after improvement of ATM.

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