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Frequency of Symptomatic and Asymptomatic Herpes Simplex Virus Type 2 Reactivations among Human Immunodeficiency Virus–Infected Men

Open access
Schacker, Timothy, Zeh, Judith, Hu, Hui‐lin, Hill, Edgar, Corey, Lawrence·1998·The Journal of Infectious Diseases

Abstract

Herpes simplex virus (HSV) infection is common in persons coinfected with human immunodeficiency virus (HIV). In a prospective study, daily viral cultures of the mouth, genitals, and rectum were collected from 68 HIV-positive and 13 HIV-negative men who have sex with men. Subjects completed a median of 57 days of follow-up. Anogenital HSV-2 cultures were positive on 405 (9.7%) of 4167 days for HIV-positive men and on 24 (3.1%) of 766 days for HIV-negative men. Most reactivations were perirectal and subclinical. Risk factors for increased HSV-2 shedding among HIV-positive men were low CD4 cell count (odds ratio, 2.5; 95% confidence interval, 1.2-5.4) and antibodies to both HSV-1 and HSV-2 versus HSV-2 only (odds ratio, 1.9; 95% confidence interval, 1.0-3.7). Three isolates obtained from 3 separate subjects were resistant to acyclovir. Thus, subclinical HSV-2 reactivation is an important opportunistic infection in persons with HIV infection. Further studies are necessaryto determine the impact of subclinical HSV-2 reactivation on the natural history of HIV infection.

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Metadata

Authors
Schacker, T., Zeh, J., Hu, H., Hill, E., & Corey, L.
Venue
The Journal of Infectious Diseases
Published
1998-12
Volume
178
Issue
6
Pages
1616-1622
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2138483700
Cited by
236
References
0
FWCI
9.34
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Frequency of Symptomatic and Asymptomatic Herpes Simplex Virus Type 2 Reactivations among Human Immunodeficiency Virus–Infected Men. https://app.cochat.ai/papers/10.1086/314486
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Schacker, T., Zeh, J., Hu, H., Hill, E., & Corey, L. (1998). Frequency of Symptomatic and Asymptomatic Herpes Simplex Virus Type 2 Reactivations among Human Immunodeficiency Virus–Infected Men. The Journal of Infectious Diseases. https://doi.org/10.1086/314486

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