title: A Caucasian Australian presenting with human T-lymphotropic virus type I associated myelopathy: a case report.
abstract: BACKGROUND
  We report the first known case of human T-lymphotropic virus type I associated myelopathy/tropical spastic paraparesis in an Australian Caucasian, a disease reported in Aboriginal and immigrant populations where the virus is often endemic.
  
  
  METHODS
  A 41-year-old Caucasian Australian man had a 3-year background of progressive functional decline from a myelopathy with spastic paraparesis and sphincteric dysfunction.
  
  
  CONCLUSIONS
  Although studies have shown a very low prevalence of human T-lymphotropic virus type I in the greater Australian population, increased focus on Aboriginal health, and the expanding diversity and integration of the Australian population means that presentation of human T-lymphotropic virus type I-associated disease is likely to increase.
authors.forename: Matthew
authors.initials: M
authors.lastname: Faull
authors.affiliation: Neurodegenerative Disorders Research Pty Ltd, 4 Lawrence Avenue, West Perth 6005, Western Australia, Australia. research@ndr.org.au.
authors.forename: Peter K
authors.initials: PK
authors.lastname: Panegyres
mesh_terms: D000328:Adult; D001315:Australia / Q000453:epidemiology; D018450:Disease Progression; D015368:Human T-lymphotropic virus 1; D006801:Humans; D008297:Male; D015493:Paraparesis, Tropical Spastic / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D044465:White People