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Rapidly Cleared Episodes of Oral and Anogenital Herpes Simplex Virus Shedding in HIV-Infected Adults
- Source :
- JAIDS Journal of Acquired Immune Deficiency Syndromes. 54:482-488
- Publication Year :
- 2010
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2010.
-
Abstract
- Objective: To determine whether rapidly cleared episodes of herpes simplex virus (HSV) reactivation occur in HIV-infected adults. Methods: Twenty HSV-2―seropositive, HIV-seropositive adults, including 9 (45%) who were also HSV-1 seropositive, collected oral and anogenital swabs for HSV DNA polymerase chain reaction 4 times a day for 60 days. Samples were positive for HSV if we detected ≥150 copies of HSV DNA/mL of specimen. Results: Median HSV shedding episode duration was 7.5 (range 4-253) hours for oral and 11 (range 4-328) hours for anogenital reactivation. Thirty-five percent of oral and 29% of anogenital reactivations lasted ≤6 hours, and 59% of oral and 53% of anogenital reactivations lasted ≤12 hours. Seven of 9 participants who shed orally and 10 of 15 who shed anogenitally had ≥1 reactivation lasting ≤6 hours. The median maximum level of HSV DNA detected in an episode increased with episode duration for both oral and anogenital episodes. Concurrent oral and anogenital shedding occurred more frequently than expected: oral HSV shedding was detected on 17% of time points with anogenital but 1% of time points without anogenital, shedding (P < 0.001). Conclusions: Rapidly cleared episodes of oral and anogenital HSV shedding occur in HIV-infected persons, supporting the hypothesis that frequent anogenital mucosal immune activation caused by HSV-2 is present in HIV coinfected persons, potentially contributing to HIV infectiousness.
- Subjects :
- Adult
Male
Herpesvirus 2, Human
viruses
Anal Canal
HIV Infections
Herpesvirus 1, Human
medicine.disease_cause
Polymerase Chain Reaction
Article
Virus
Herpesviridae
medicine
Humans
Pharmacology (medical)
Viral shedding
Sida
Herpes Genitalis
Herpes Labialis
Mouth
biology
Herpes Simplex
Middle Aged
biology.organism_classification
Virus Shedding
Infectious Diseases
Herpes simplex virus
DNA, Viral
Immunology
Female
Virus Activation
Viral disease
Subjects
Details
- ISSN :
- 15254135
- Volume :
- 54
- Database :
- OpenAIRE
- Journal :
- JAIDS Journal of Acquired Immune Deficiency Syndromes
- Accession number :
- edsair.doi.dedup.....60485a2658688439b28c98835756b783