Presentation Title

A Psychiatric Presentation in the Context of HTLV-1

Speaker Credentials

DO

Format

Poster

Start Date

6-11-2020 11:45 AM

End Date

6-11-2020 12:00 PM

Abstract

A Psychiatric Presentation in the context of HTLV-1 Introduction: The majority of HTLV-I-infected individuals will remain asymptomatic, but there are two well-recognized disease associations caused by the virus: Adult T cell leukemia-lymphoma (ATL) and HTLV-I-associated myelopathy (HAM). However, there have been 6 documented cases of encephalitis related to HTLV-1. Case presentation: The patient is a 57 year old Latin Caribbean female who presented under Baker Act for aggressive behavior and suicide attempt. Patient had a longstanding history of HTLV-1 and presented with new onset aphasia, urinary incontinence prior to her hospitalization. Discussion: Patient’s family reported 1 month of significant mental deterioration with suicidal behavior. Infectious Disease, Neurology, and Psychiatry were consulted on the case. Patient’s workup, including cranial imaging, was negative for any acute pathology. Lumbar Puncture revealed HTLV-1 virus in the CSF. Treatment plan consisted of IV pulse steroids and Depakote to target patient’s impulsivity and any possible inflammatory process related to HTLV chronic infection. Conclusion: This case may be added to the rare cases of encephalitis associated with HTLV-1 Grants: None

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Nov 6th, 11:45 AM Nov 6th, 12:00 PM

A Psychiatric Presentation in the Context of HTLV-1

A Psychiatric Presentation in the context of HTLV-1 Introduction: The majority of HTLV-I-infected individuals will remain asymptomatic, but there are two well-recognized disease associations caused by the virus: Adult T cell leukemia-lymphoma (ATL) and HTLV-I-associated myelopathy (HAM). However, there have been 6 documented cases of encephalitis related to HTLV-1. Case presentation: The patient is a 57 year old Latin Caribbean female who presented under Baker Act for aggressive behavior and suicide attempt. Patient had a longstanding history of HTLV-1 and presented with new onset aphasia, urinary incontinence prior to her hospitalization. Discussion: Patient’s family reported 1 month of significant mental deterioration with suicidal behavior. Infectious Disease, Neurology, and Psychiatry were consulted on the case. Patient’s workup, including cranial imaging, was negative for any acute pathology. Lumbar Puncture revealed HTLV-1 virus in the CSF. Treatment plan consisted of IV pulse steroids and Depakote to target patient’s impulsivity and any possible inflammatory process related to HTLV chronic infection. Conclusion: This case may be added to the rare cases of encephalitis associated with HTLV-1 Grants: None