Atypical cutaneous manifestation of HSV-2 with Candida albicans co-infection in a patient with HIV-1.
Herpes simplex virus type 2 (HSV-2) infection was one of the first opportunistic infections identified among patients with AIDS. In the literature there are many data suggesting that the natural history of HSV-2 infection is altered in HIV-HSV-2 co-infected patients. Furthermore, a relationship between HIV seropositivity and HBV infection because of their analogous way of transmission is also described. We report the case of a 37-year-old patient who suffered from multiple painful ulcerative lesions of the perianal region. Laboratory examination showed positivity for HIV and HBV infections. In HIV-positive patients perianal HSV-2 can have atypical manifestations, especially if co-infection by Candida albicans occurs.
Panasiti
V
V
Department of Dermatology, University of Rome La Sapienza Viale del Policlinico, 155 00161 Rome, Italy. ilcapo75@gmx.net
Devirgiliis
V
V
Borroni
R G
RG
Spataro
A
A
Melis
L
L
Petrella
M C
MC
Pala
S
S
D017088:AIDS-Related Opportunistic Infections / Q000150:complications* / Q000382:microbiology / Q000821:virology; D000328:Adult; D001003:Anal Canal / Q000473:pathology; D002176:Candida albicans; D002177:Candidiasis / Q000150:complications* / Q000382:microbiology; D005260:Female; D015658:HIV Infections / Q000150:complications; D015497:HIV-1; D006558:Herpes Genitalis / Q000473:pathology* / Q000821:virology; D018258:Herpesvirus 2, Human / Q000472:pathogenicity*; D006801:Humans; D012871:Skin Diseases / Q000473:pathology* / Q000821:virology