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Oral shedding of herpes simplex virus type 2.

机译:口腔单纯疱疹病毒2型脱落。

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OBJECTIVES: Herpes simplex virus (HSV) 1 and HSV-2 reactivate preferentially in the oral and genital area, respectively. We aimed to define frequency and characteristics associated with oral shedding of HSV-2. METHODS: Demographic, clinical and laboratory data of patients with documented HSV-2 infection and at least one oral viral culture obtained were selected from the University of Washington Virology Research Clinic database. RESULTS: Of 1388 people meeting the entry criteria, 44 (3.2%) had HSV-2 isolated at least once from their mouths. In comparison with the 1344 people who did not have HSV-2 isolated from their mouth, participants with oral HSV-2 were more likely to be male (OR = 1.9, 95% CI 1.0 to 3.7), HIV positive (OR = 2.9, 95% CI 1.4 to 6.0), and homosexual (OR = 2.2, 95% CI 1.1 to 4.2), and to have collected a larger number of oral specimens (median 32 v 4, p<0.001). Of the 58 days with oral HSV-2 isolation, 15 (25%) occurred during newly acquired HSV-2 infection, 12 (21%) during a recurrence with genital lesions, three (5%) during a recurrence with oral lesions, and three (5%) during a recurrence with oral and genital lesions; 25 (43%) occurred during asymptomatic shedding. Oral HSV-2 was found less frequently than oral HSV-1 (0.06% v 1%, p<0.001) in people with HSV-1 and HSV-2 antibody, and less frequently than genital HSV-2 (0.09% v 7%, p<0.001). CONCLUSIONS: Oral reactivation of HSV-2 as defined by viral isolation is uncommon and usually occurs in the setting of first episode of genital HSV-2 or during genital recurrence of HSV-2.
机译:目的:单纯疱疹病毒(HSV)1和HSV-2分别在口腔和生殖器区域优先激活。我们旨在定义与HSV-2口腔脱落相关的频率和特征。方法:从华盛顿大学病毒学研究数据库中选择已记录HSV-2感染并至少获得一种口腔病毒培养的患者的人口统计学,临床和实验室数据。结果:在符合入组标准的1388人中,有44名(3.2%)的HSV-2从口腔中分离出至少一次。与没有从口腔中分离出HSV-2的1344人相比,口服HSV-2的参与者更可能是男性(OR = 1.9,95%CI 1.0至3.7),HIV阳性(OR = 2.9, 95%CI 1.4到6.0)和同性恋(OR = 2.2,95%CI 1.1到4.2),并且已经收集了更多的口腔标本(中位数32 v 4,p <0.001)。在经口HSV-2隔离的58天中,有15例(25%)在新获得的HSV-2感染期间发生,在生殖器病变复发期间12例(21%),在口腔病变复发期间3例(5%),以及口腔和生殖器病变复发期间占三(5%); 25例(43%)在无症状脱落期间发生。在具有HSV-1和HSV-2抗体的人群中,口服HSV-2的频率低于口服HSV-1(0.06%v 1%,p <0.001),并且频率低于生殖器HSV-2(0.09%v 7%) ,p <0.001)。结论:病毒分离所定义的HSV-2口服再激活并不常见,通常发生在生殖器HSV-2首次发作的环境中或生殖器HSV-2复发期间。

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