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Correlates of bacterial ulcers and acute HSV-2 infection among men with genital ulcer disease in South Africa: age, recent sexual behaviours, and HIVi,ii

Jami S. Leichliter, David A. Lewis
Southern African Journal of Infectious Diseases | Vol 31, No 2 | a92 | DOI: | © 2019 Jami S. Leichliter, David A. Lewis | This work is licensed under CC Attribution 4.0
Submitted: 15 May 2019 | Published: 01 July 2016

About the author(s)

Jami S. Leichliter, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States
David A. Lewis, Centre for HIV and STIs, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa;Department of Internal Medicine, Faculty of Health Sciences, University of the Witswatersrand, Johannesburg, South Africa; Western Sydney Sexual Health Centre, Parramatta, Australia; Centre for Infectious Diseases and Microbiology & Marie Bashir Institute for Infectious Diseases and Biosecurity, Westmead Clinical School, University of Sydney, Sydney, Australia

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Data from baseline surveys and STI/HIV laboratory tests (n=615 men) were used to examine correlates of bacterial ulcers (Treponema pallidum, Haemophilus ducreyi, or Chlamydia trachomatis L1-L3 detected in ulcers) and acute HSV-2 ulcers (HSV-2 positive ulcer specimen, HSV-2 sero-negative, and negative for bacterial pathogens) versus recurrent HSV-2 ulcers (seropositive), separately. Men with bacterial ulcers had larger ulcers compared to men with recurrent HSV-2 ulcers, but were less likely to be HIV-positive; whereas, men with acute HSV-2 ulcers were younger with fewer partners. Acute HIV was higher among men with bacterial and acute HSV-2 ulcers; however, this difference was not statistically significant.


acute HIV; acute HSV-2; bacterial ulcers; genital ulcer disease; sexual behavior


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