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The diagnosis was confirmed by detection of HTLV-1 in blood and cerebrospinal fluid by the ELISA and Western Blot tests. For myelopathy, the patient was treated with pulse methylprednisolone, but had poor response to treatment. We recommend that all patients receiving transplants and their donors who come from endemic countries be given a mandatory screening for HTLV-1 through an ELISA test, in an effort to inform candidates for renal transplantation of the potential risk of infection and the development of this disease.<\/jats:p>","DOI":"10.1136\/bcr-2016-215243","type":"journal-article","created":{"date-parts":[[2016,6,6]],"date-time":"2016-06-06T18:07:58Z","timestamp":1465236478000},"page":"bcr2016215243","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["HTLV-1-associated myelopathy in a solid organ transplant recipient"],"prefix":"10.1136","volume":"2016","author":[{"given":"Maria Jose","family":"Montesdeoca Andrade","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgar Patricio","family":"Correa Diaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Eugenia","family":"Buest\u00e1n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,6,6]]},"reference":[{"key":"2025042703305542000_2016.jun06_1.bcr2016215243.1","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.4321\/S0004-06142005001000011","article-title":"HTLV infection after renal transplant","volume":"58","author":"Villafruela Mateos","year":"2005","journal-title":"Arch Esp Urol"},{"key":"2025042703305542000_2016.jun06_1.bcr2016215243.2","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12127"},{"key":"2025042703305542000_2016.jun06_1.bcr2016215243.3","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.74.8.1080"},{"key":"2025042703305542000_2016.jun06_1.bcr2016215243.4","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.20331"},{"key":"2025042703305542000_2016.jun06_1.bcr2016215243.5","first-page":"196","article-title":"Veinte a\u00f1os de investigaci\u00f3n sobre HTLV-1 y sus complicaciones m\u00e9dicas en el Per\u00fa: Perspectivas generales. 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