Article ; Online: Resistance of herpes simplex virus infections to nucleoside analogues in HIV-infected patients.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
2004 Volume 39 Suppl 5, Page(s) S248–57
Abstract: Antiviral treatment of herpes simplex virus (HSV) infections with nucleoside analogues has been well established for >2 decades, but isolation of drug-resistant HSV from immunocompetent patients has remained infrequent (0.1%-0.7% of isolates) during this ...
Abstract | Antiviral treatment of herpes simplex virus (HSV) infections with nucleoside analogues has been well established for >2 decades, but isolation of drug-resistant HSV from immunocompetent patients has remained infrequent (0.1%-0.7% of isolates) during this period. Even when drug-resistant HSV is isolated from an immunocompetent patient, this virus, with rare exceptions, is cleared normally without adverse clinical outcome. Although drug-resistant HSV is more commonly isolated from immunocompromised patients (4%-7% of isolates) and is more likely to be clinically significant, the prevalence of drug-resistant HSV even among these patients, has been stable over the past 2 decades. Despite this stable prevalence, disease due to drug-resistant HSV remains an important problem for many immunocompromised patients, including those with HIV infection. This article reviews the prevalence, pathogenesis, and implications of drug-resistant HSV infections in HIV-infected patients. |
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MeSH term(s) | Acyclovir/pharmacology ; Acyclovir/therapeutic use ; Animals ; Antiviral Agents/pharmacology ; Antiviral Agents/therapeutic use ; Drug Resistance, Viral/genetics ; Drug Resistance, Viral/immunology ; HIV Infections/complications ; HIV Infections/immunology ; Herpes Simplex/complications ; Herpes Simplex/drug therapy ; Herpes Simplex/immunology ; Humans ; Immunity, Cellular ; Immunocompetence ; Immunocompromised Host ; Nucleosides/pharmacology ; Nucleosides/therapeutic use ; Recurrence ; Simplexvirus/drug effects ; Simplexvirus/genetics ; Simplexvirus/pathogenicity |
Chemical Substances | Antiviral Agents ; Nucleosides ; Acyclovir (X4HES1O11F) |
Language | English |
Publishing date | 2004-11-01 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't ; Review |
ZDB-ID | 1099781-7 |
ISSN | 1537-6591 ; 1058-4838 |
ISSN (online) | 1537-6591 |
ISSN | 1058-4838 |
DOI | 10.1086/422364 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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