HIV‐2 infection among prostitutes working in The Gambiaassociation with serological evidence of genital ulcer diseases and with generalized lymphadenopathy
作者:
Jacques Pepin,
David Dunn,
Isatou Gaye,
Pedro Alonso,
Arinze Egboga,
Richard Tedder,
Peter Piot,
Neil Berry,
David Schellenberg,
Hilton Whittle,
Andrew Wilkins,
期刊:
AIDS
(OVID Available online 1991)
卷期:
Volume 5,
issue 1
页码: 69-76
ISSN:0269-9370
年代: 1991
出版商: OVID
关键词: HIV-2;HTLV-I;syphilis;chancroid;genital ulcer disease;The Gambia
数据来源: OVID
摘要:
Three hundred and fifty-five prostitutes working in The Gambia were enrolled in a study of retroviral infections. Eight-seven (24.6%) were infected with HIV-2 only, two (0.6%) with HIV-1 only, four (1.1%) had sera showing double HIV-1/HIV-2 reactivity, and 37 (10.4%) were seropositive for HTLV-I. After allowing for socioeconomic and serological variables in a multivariate analysis, HIV-2 infection was associated with serological evidence of a previous episode of syphilis [a rapid plasma reagin (RPR) positive/Treponemapallidumhaemagglutination assay (TPHA) positive; odds ratio (OR) = 2.18, 95% confidence interval (CI) = 1.19–3.98], with having antibodies againstHaemophilus ducreyi(OR = 2.05, 95% CI = 0.89–4.70) or against HTLV-I (OR = 2.17, 95% CI = 0.91–5.19). HIV-2-seropositive prostitutes were three times more likely [17 out of 78 (22%) versus 15 out of 219 (7%), P < 0.001] to have generalized lymphadenopathy than those who were seronegative. These data suggest that genital ulcer diseases may facilitate the transmission of HIV-2, and that HIV-2 rapidly induces the appearance of generalized lymphadenopathy in a substantial proportion of infected individuals.
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