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有症状且人类免疫缺陷病毒血清学呈阳性的男同性恋者的胃肠道病毒感染

Gastrointestinal viral infections in homosexual men who were symptomatic and seropositive for human immunodeficiency virus.

作者信息

Cunningham A L, Grohman G S, Harkness J, Law C, Marriott D, Tindall B, Cooper D A

机构信息

Department of Virology, Westmead Hospital, Sydney, New South Wales, Australia.

出版信息

J Infect Dis. 1988 Aug;158(2):386-91. doi: 10.1093/infdis/158.2.386.

DOI:10.1093/infdis/158.2.386
PMID:2841379
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7109796/
Abstract

Gastrointestinal viruses, predominantly rotaviruses and adenoviruses, were detected by enzyme-linked immunosorbent assay, electron microscopy, or cell culture in greater than 50% of two groups of homosexual men with symptomatic human immunodeficiency virus (HIV) infection, who did (54%) or did not (50%) have diarrhea. Lower detection rates were observed in HIV-seronegative (15%) and asymptomatic HIV-seropositive (16%) men. In the patients with diarrhea, 95% of the isolates of virus were found in the most immunosuppressed patients, those patients with AIDS-related complex or opportunistic infections associated with AIDS. High excretion rates of these viruses are probably associated with both anal-oral transmission and immunosuppression. These viruses apparently cause acute episodes or relapses of diarrhea in some patients but may be co-pathogens or noncontributory to chronic diarrhea in others.

摘要

通过酶联免疫吸附测定、电子显微镜检查或细胞培养,在两组有症状的人类免疫缺陷病毒(HIV)感染的同性恋男性中,超过50%检测到胃肠道病毒,主要是轮状病毒和腺病毒,其中一组有腹泻症状(54%),另一组无腹泻症状(50%)。在HIV血清阴性男性(15%)和无症状HIV血清阳性男性(16%)中,检测率较低。在腹泻患者中,95%的病毒分离株来自免疫抑制最严重的患者,即患有艾滋病相关综合征或与艾滋病相关的机会性感染的患者。这些病毒的高排泄率可能与肛交传播和免疫抑制都有关。这些病毒显然在一些患者中引起腹泻的急性发作或复发,但在其他患者中可能是共同病原体或与慢性腹泻无关。