“… 1 This virus is endemic to several areas including: southwestern Japan, the Caribbean, inter-tropical Africa, the Middle East, South America, and Papua New Guinea. 2 , 3 It can cause two different diseases, adult T-cell leukemia lymphoma (ATL) and HTLV-1-associated myelopathy-tropical spastic paraparesis. 3 The former, ATL, is a malignant condition affecting the patient described in this case, whereas, the latter is an inflammatory central nervous system (CNS) condition.…”