Transmission of Genital Herpes in Couples with One Symptomatic and One Asymptomatic Partner: A Prospective Study

To determine the risk of transmission of genital herpes simplex virus (HSV) infection, we prospectively studied, for a median of six months, 38 couples who had been together for a median of 10 mo. In each couple, one partner had a history of symptomatic genital herpes and one did not. At entry, of t...

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Veröffentlicht in:The Journal of infectious diseases 1988-06, Vol.157 (6), p.1169-1177
Hauptverfasser: Mertz, Gregory J., Coombs, Robert W., Ashley, Rhoda, Jourden, John, Remington, Michael, Winter, Carol, Fahnlander, Anita, Guinan, Mary, Ducey, Hanna, Corey, Lawrence
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container_end_page 1177
container_issue 6
container_start_page 1169
container_title The Journal of infectious diseases
container_volume 157
creator Mertz, Gregory J.
Coombs, Robert W.
Ashley, Rhoda
Jourden, John
Remington, Michael
Winter, Carol
Fahnlander, Anita
Guinan, Mary
Ducey, Hanna
Corey, Lawrence
description To determine the risk of transmission of genital herpes simplex virus (HSV) infection, we prospectively studied, for a median of six months, 38 couples who had been together for a median of 10 mo. In each couple, one partner had a history of symptomatic genital herpes and one did not. At entry, of the 38 asymptomatic, exposed partners, 21 were seronegative, and results of western blot analysis showed that seven had antibody to HSV type 1 (HSV-1), four to HSV type 2 (HSV-2), and six to both HSV-1 and HSV-2. One of the 28 exposed partners without antibody to HSV-2 at enrollment asymptomatically acquired HSV-2 infection, but four of 10 with antibody to HSV-2 at enrollment developed culture-proven HSV-2 infection during follow-up. Restriction endonuclease analysis of DNA from paired isolates revealed identical strains in three couples and different strains in one. In this group of asymptomatic sex partners of persons with genital herpes, asymptomatic and unrecognized acquisition of HSV-2 infection was common, but more than half of the exposed partners remained free of HSV-2 infection after a median of 16 mo of sexual contact.
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In each couple, one partner had a history of symptomatic genital herpes and one did not. At entry, of the 38 asymptomatic, exposed partners, 21 were seronegative, and results of western blot analysis showed that seven had antibody to HSV type 1 (HSV-1), four to HSV type 2 (HSV-2), and six to both HSV-1 and HSV-2. One of the 28 exposed partners without antibody to HSV-2 at enrollment asymptomatically acquired HSV-2 infection, but four of 10 with antibody to HSV-2 at enrollment developed culture-proven HSV-2 infection during follow-up. Restriction endonuclease analysis of DNA from paired isolates revealed identical strains in three couples and different strains in one. In this group of asymptomatic sex partners of persons with genital herpes, asymptomatic and unrecognized acquisition of HSV-2 infection was common, but more than half of the exposed partners remained free of HSV-2 infection after a median of 16 mo of sexual contact.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>2836518</pmid><doi>10.1093/infdis/157.6.1169</doi><tpages>9</tpages></addata></record>
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subjects Adult
Antibodies
Antibodies, Viral - analysis
Biological and medical sciences
Disease transmission
DNA Restriction Enzymes
DNA, Viral - analysis
Female
Genital herpes
Genitalia
Herpes Genitalis - transmission
Human herpesvirus 1
Human herpesvirus 2
Human viral diseases
Humans
Infections
Infectious diseases
Lesions
Male
Medical sciences
Original Articles
Prospective Studies
Recurrence
Sexually Transmitted Diseases - transmission
Simplexvirus
Simplexvirus - classification
Simplexvirus - genetics
Simplexvirus - immunology
Time Factors
Viral diseases
Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye
Viruses
title Transmission of Genital Herpes in Couples with One Symptomatic and One Asymptomatic Partner: A Prospective Study
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