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Atypical cutaneous manifestation of HSV-2 with Candida albicans co-infection in a patient with HIV-1.

Panasiti V, Devirgiliis V, Borroni RG, Spataro A, Melis L, Petrella MC, Pala S

Department of Dermatology, University of Rome La Sapienza Viale del Policlinico, 155 00161 Rome, Italy. ilcapo75@gmx.net

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.

Published 15 January 2007 in J Infect, 54(2): e55-7.
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