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Influence of HIV Infection on Manifestations and Natural History of Other Sexually Transmitted Diseases

Influence of HIV Infection on Manifestations and Natural History of Other Sexually Transmitted... Human immunodeficiency virus (HIV) is the most devastating sexually acquired infection. As sexual transmission of HIV continues to occur worldwide, the concomitant presence of other sexually transmitted diseases (STDs) in HIV-infected persons is being seen with increasing frequency. The profound effects on host immunity that HIV exerts appear to influence the clinical course of numerous bacterial, protozoal, and viral pathogens. These problems have recently been explored by Wasserheit (123), who coined the term "epidemiologic synergy" to describe the interrelationships between HIV infection and STDs, including the effects of STDs on HIV transmission and progression, as well as the effects of HIV on progressive STD transmission and in the clinical course of STDs. This paper addresses specifically the influence of HIV on each of the major STDs. 0 163-7525/93/0510-0019$02.00 WALD ET AL SEXUALLY TRANSMITTED VIRAL INFECTIONS Genital Herpes Almost all HIV-infected patients are coinfected with either herpes simplex type-1 (HSV-1) or herpes simplex type-2 (HSV-2), or both. Herpes simplex type-1 infection is universal in the developing world and is found in 80-100% of HIV-infected adults. Herpes simplex type-2 antibodies have been found in 40-100% of HIV-infected adults and are especially frequent among those with sexually acquired HIV. Several cross-sectional http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annual Review of Public Health Annual Reviews

Influence of HIV Infection on Manifestations and Natural History of Other Sexually Transmitted Diseases

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Publisher
Annual Reviews
Copyright
Copyright 1993 Annual Reviews. All rights reserved
Subject
Review Articles
ISSN
0163-7525
eISSN
1545-2093
DOI
10.1146/annurev.pu.14.050193.000315
pmid
8323586
Publisher site
See Article on Publisher Site

Abstract

Human immunodeficiency virus (HIV) is the most devastating sexually acquired infection. As sexual transmission of HIV continues to occur worldwide, the concomitant presence of other sexually transmitted diseases (STDs) in HIV-infected persons is being seen with increasing frequency. The profound effects on host immunity that HIV exerts appear to influence the clinical course of numerous bacterial, protozoal, and viral pathogens. These problems have recently been explored by Wasserheit (123), who coined the term "epidemiologic synergy" to describe the interrelationships between HIV infection and STDs, including the effects of STDs on HIV transmission and progression, as well as the effects of HIV on progressive STD transmission and in the clinical course of STDs. This paper addresses specifically the influence of HIV on each of the major STDs. 0 163-7525/93/0510-0019$02.00 WALD ET AL SEXUALLY TRANSMITTED VIRAL INFECTIONS Genital Herpes Almost all HIV-infected patients are coinfected with either herpes simplex type-1 (HSV-1) or herpes simplex type-2 (HSV-2), or both. Herpes simplex type-1 infection is universal in the developing world and is found in 80-100% of HIV-infected adults. Herpes simplex type-2 antibodies have been found in 40-100% of HIV-infected adults and are especially frequent among those with sexually acquired HIV. Several cross-sectional

Journal

Annual Review of Public Health – Annual Reviews

Published: May 1, 1993

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