title: [Two cases of HTLV-I associated myelopathy (HAM) after cardiac operation].
abstract: 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.
authors.affiliation: Department of Surgery, Nagoya First Red Cross Hospital, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Akita
authors.forename: S
authors.initials: S
authors.lastname: Hayase
authors.forename: Y
authors.initials: Y
authors.lastname: Yano
authors.forename: K
authors.initials: K
authors.lastname: Ogawa
authors.forename: H
authors.initials: H
authors.lastname: Hiramatsu
authors.forename: T
authors.initials: T
authors.lastname: Hattori
mesh_terms: D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000601:surgery*; D015493:Paraparesis, Tropical Spastic / Q000635:transmission*; D065227:Transfusion Reaction