Here a young patient (< 21 years of age) with a history
of infective dermatitis is described. The patient was diagnosed with myelopathy
associated with HTLV-1/tropical spastic paraparesis and treated with
interferon beta-1a. The disease was clinically established as HTLV-1-associated
myelopathy/tropical spastic paraparesis (HAM/TSP), and
laboratory tests confirmed the presence of antibodies to HTLV-1 in the
cerebrospinal fluid (CSF). Mumps, cytomegalovirus, Epstein-Barr virus,
schistosomiasis, herpes virus 1 and 2, rubella, measles, varicella-zoster
toxoplasmosis, hepatitis, HIV, and syphilis were excluded by serology. The
patient was diagnosed with neurogenic bladder and presented with nocturia,
urinary urgency, paresthesia of the lower left limb, a marked reduction of
muscle strength in the lower limbs, and a slight reduction in upper limb
strength. During the fourth week of treatment with interferon beta-1a, urinary
urgency and paresthesia disappeared and clinical motor skills improved.