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PREVALENCE AND GENETIC CHARACTERISATION OF HTLV-1 AND 2 DUAL INFECTIONS IN PATIENTS WITH PULMONARY TUBERCULOSIS IN CENTRAL-WEST BRAZIL
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Instituto de Patologia Tropical e Saúde Pública. Goiânia, GO, Brasil.
Instituto de Patologia Tropical e Saúde Pública. Goiânia, GO, Brasil.
Instituto de Patologia Tropical e Saúde Pública. Goiânia, GO, Brasil .
Universidade Federal de Goiás. Faculdade de Enfermagem. Goiânia, GO, Brasil.
Instituto de Patologia Tropical e Saúde Pública / Hospital de Doenças Tropicais Anuar Auad. Goiânia, GO, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Instituto de Patologia Tropical e Saúde Pública. Goiânia, GO, Brasil .
Instituto de Patologia Tropical e Saúde Pública. Goiânia, GO, Brasil.
Instituto de Patologia Tropical e Saúde Pública. Goiânia, GO, Brasil .
Universidade Federal de Goiás. Faculdade de Enfermagem. Goiânia, GO, Brasil.
Instituto de Patologia Tropical e Saúde Pública / Hospital de Doenças Tropicais Anuar Auad. Goiânia, GO, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Instituto de Patologia Tropical e Saúde Pública. Goiânia, GO, Brasil .
Abstract
Human T-cell lymphotropic virus (HTLV) may impact the clinical course of tuberculosis (TB). Both infections are highly endemic in Brazil. The aim of this study was to assess the prevalence of HTLV-1/2 in TB patients in Central-West Brazil and to perform a genetic characterisation of the respective isolates. Of the 402 patients, six (1.49%) were positive for anti-HTLV and five (1.24%; 95% confidence interval: 0.46-3.05) were infected with HTLV-1/2. Genetic characterisation demonstrated that the four HTLV-1 isolates belonged to the Transcontinental subgroup A of the Cosmopolitan subtype a and that the HTLV-2 isolate belonged to subtype a (HTLV-2a/c). The prevalence of HTLV infection observed in this study is higher than that observed in local blood donors and the HTLV-1 and 2 subtypes identified are consistent with those circulating in Brazil.
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