Dental Journal (Majalah Kedokteran Gigi)
ISSN 1978-3728
Vol. 45 / No. 2 / Published : 2012-06
Order : 11, and page :114 - 120
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Original Article :
Seroprevalence of herpes simplex virus types 1 and 2 and their association with cd4 count among hiv-positive patients
Author :
- Irna Sufiawati*1
- Sunardhi Widyaputra*2
- Tony S. Djajakusumah *3
- Department of Oral Medicine, Faculty of Dentistry, University of Padjadjaran,Bandung - Indonesia
- Department of Oral Pathology, Faculty of Dentistry, University of Padjadjaran, Bandung - Indonesia
- Department of Dermatology & Venereology, Faculty of Medicine, University of Padjadjaran, Bandung - Indonesia
Abstract :
Background: Herpes simplex virus (HSV) is a common cause of viral opportunistic infections among HIV-positive patients. Frequent, more severe and prolonged episodes of recurrent HSV infection can be a source of significant morbidity and mortality among HIV-positive patients with advanced immunosuppression, reflected by low CD4 count. However, conflicting results have also been reported. Purpose: The aim of this study was to investigate the seroprevalence of HSV type 1 (HSV-1) and type 2 (HSV-2) in HIV-positive patients compare with the rate in HIV-negative patients, and to evaluate their association with CD4 count. Methods: A cross sectional study was conducted among 145 subjects consisting of 80 HIV-positive and 65 HIV-negative patients attending the top referral hospital in Bandung, West Java, Indonesia. The serum obtained was assayed for the presence of HSV-1 and HSV-2 IgG antibodies using ELISA kits. Data were analyzed using a Chi-square test, t-tests and analysis of variance (ANOVA). Results: There were no significant differences in HSV-1 seroprevalence between HIV-positive patients (71%) and HIV-negative patients (66%). HSV- 2 seroprevalence was significantly higher in HIV-positive patients (30%) than HIV-negative patients (5%). The titers of HSV-1 IgG antibodies in HIV-positive patients (mean 24.63 ± 19.06 IDU) were significantly lower than those of HIV-negative patients (mean 44.62 ± 33.22 IDU). In contrast, HSV-2 IgG antibody titers in HIV-positive patients (mean 13.31 ± 20.28 IDU) were significantly higher than HIV-negative patients (mean 4.42 ± 10.99 IDU). There was no significant correlation between HSV-1 and HSV-2 seropositivity and CD4 count among HIV-positive patients. However, most of HSV-2 seropositive patients had CD4 count < 200 cells/mm3. Conclusion: Seroprevalence of HSV-1 and HSV-2 among HIV-positive patients was high with no correlation with CD4 count.
Keyword :
References :
Fauci AS,(1993) Immunopathogenesis of HIV infection - : J Acquir Immune Defic Syndr
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Volume : 45 / No. : 2 / Pub. : 2012-06 |
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