A human leukocyte antigen (HLA)-matched unrelated bone marrow transplantation (BMT) was performed in a 13-year-old patient with the congenital immunodeficiency syndrome, Wiskott-Aldrich syndrome. The patient had a history of acyclovir (ACV)-resistant (ACV(r)) herpes simplex virus type 1 (HSV-1) infe
Successful treatment of aciclovir and foscarnet resistant Herpes simplex virus lesions with topical imiquimod in patients infected with human immunodeficiency virus type 1
✍ Scribed by Anne-Sophie Lascaux; Eric Caumes; Claire Deback; Giovanna Melica; Dominique Challine; Henri Agut; Yves Lévy
- Publisher
- John Wiley and Sons
- Year
- 2011
- Tongue
- English
- Weight
- 204 KB
- Volume
- 84
- Category
- Article
- ISSN
- 0146-6615
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✦ Synopsis
Abstract
Aciclovir (ACV)‐resistant Herpes simplex virus type‐2 (HSV‐2) infections are observed commonly in patients also infected with HIV‐1. The use of foscarnet (FOS) in these patients may also lead to resistance. This situation can become a difficult therapeutic challenge. Four cases of patients infected with HIV and with mucocutaneous HSV‐2 resistant to ACV and FOS are reported. These patients were treated successfully with topical 5% imiquimod. Imiquimod treatment also appeared to delay the time to recurrence of HSV lesions. J. Med. Virol. 84:194–197, 2012. © 2011 Wiley Periodicals, Inc.
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