Abstract
The prevalence of human T-cell lymphotropic virus type 1 (HTLV-1) and HTLV-2 infection in 1992 and 1993 was determined by testing 2,152 specimens from injection drug users living in 11 geographic areas in Spain. Results obtained by an authentic HTLV-1 and -2 test were compared with those obtained by an HTLV-1 assay. HTLV infection was identified in 7 of 11 regions, with an overall prevalence of 2.5% (range, 0.4 to 11.5%). Fourty-four (81%) of 54 subjects were infected with HTLV-2; the viral strains in the remaining 10 subjects could not be serologically typed. Underestimation of HTLV infection because of the low sensitivities of HTLV-1 enzyme immunoassays for HTLV-2 antibody was relatively low (< 20%). Therefore, previous epidemiologic findings generated with HTLV-1 enzyme immunoassays appear to be reasonably accurate. Our results suggest that the rate of HTLV infection may have been increasing recently among Spanish drug users.
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- Cossen C., Hagens S., Fukuchi R., Forghani B., Gallo D., Ascher M. Comparison of six commercial human T-cell lymphotropic virus type I (HTLV-I) enzyme immunoassay kits for detection of antibody to HTLV-I and -II. J Clin Microbiol. 1992 Mar;30(3):724–725. doi: 10.1128/jcm.30.3.724-725.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Coste J., Lemaire J. M., Couroucé A. M., Canavaggio M. Human T-lymphotropic virus (HTLV) types I and II: seroprevalence among intravenous drug users in continental France. Retrovirus Study Group of the French Society of Blood Transfusion. AIDS. 1993 Mar;7(3):440–441. [PubMed] [Google Scholar]
- Hjelle B., Appenzeller O., Mills R., Alexander S., Torrez-Martinez N., Jahnke R., Ross G. Chronic neurodegenerative disease associated with HTLV-II infection. Lancet. 1992 Mar 14;339(8794):645–646. doi: 10.1016/0140-6736(92)90797-7. [DOI] [PubMed] [Google Scholar]
- Khabbaz R. F., Onorato I. M., Cannon R. O., Hartley T. M., Roberts B., Hosein B., Kaplan J. E. Seroprevalence of HTLV-1 and HTLV-2 among intravenous drug users and persons in clinics for sexually transmitted diseases. N Engl J Med. 1992 Feb 6;326(6):375–380. doi: 10.1056/NEJM199202063260604. [DOI] [PubMed] [Google Scholar]
- Mayer V., Ebbesen P. HTLV-I virus in Europeans: the continuous spread. A meta-analysis. Acta Virol. 1991 Sep;35(5):472–495. [PubMed] [Google Scholar]
- Rios M., Khabbaz R. F., Kaplan J. E., Hall W. W., Kessler D., Bianco C. Transmission of human T cell lymphotropic virus (HTLV) type II by transfusion of HTLV-I-screened blood products. J Infect Dis. 1994 Jul;170(1):206–210. doi: 10.1093/infdis/170.1.206. [DOI] [PubMed] [Google Scholar]
- Soriano V., Calderon E., Gutierrez M., Tuset C., Martinez-Zapico R., Gonzalez-Lahoz J. Misdiagnosis of HTLV-II infection using HTLV-I screening assays. HTLV-I/II Spanish Study Group. AIDS. 1993 Oct;7(10):1395–1395. doi: 10.1097/00002030-199310000-00020. [DOI] [PubMed] [Google Scholar]
- Soriano V., Calderón E., Esparza B., Cilla G., Aguilera A., Gutiérrez M., Tor J., Pujol E., Merino F., Pérez-Trallero E. HTLV-I/II infections in Spain. The HTLV-I/II Spanish Study Group. Int J Epidemiol. 1993 Aug;22(4):716–719. doi: 10.1093/ije/22.4.716. [DOI] [PubMed] [Google Scholar]
- Soriano V., Tor J., Monzon M., Graus J. M., Clotet B., Ribas-Mundo M. HTLV-I in Spain. Lancet. 1990 Sep 8;336(8715):627–628. doi: 10.1016/0140-6736(90)93422-l. [DOI] [PubMed] [Google Scholar]
- Weiss S. H. The evolving epidemiology of human T lymphotropic virus type II. J Infect Dis. 1994 May;169(5):1080–1083. doi: 10.1093/infdis/169.5.1080. [DOI] [PubMed] [Google Scholar]
- Wiktor S. Z., Pate E. J., Weiss S. H., Gohd R. S., Correa P., Fontham E. T., Hanchard B., Biggar R. J., Blattner W. A. Sensitivity of HTLV-I antibody assays for HTLV-II. Lancet. 1991 Aug 24;338(8765):512–513. doi: 10.1016/0140-6736(91)90585-d. [DOI] [PubMed] [Google Scholar]
- Zanetti A. R., Galli C. Seroprevalence of HTLV-I and HTLV-II. N Engl J Med. 1992 Jun 25;326(26):1783–1784. [PubMed] [Google Scholar]