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Correspondence
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Volume 356:2323-2324 May 31, 2007 Number 22
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HSV Therapy and HIV-1 Reduction

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 by Nagot, N.
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To the Editor: Nagot et al. (Feb. 22 issue)1 report that treatment with valacyclovir (1 g per day) to suppress herpes simplex virus (HSV) reduced human immunodeficiency virus type 1 (HIV-1) RNA levels in patients in Burkina Faso. This finding raises important questions regarding the clinical management of HSV infection in poor countries. Of the 68 patients receiving valacyclovir, 3 (4%) had at least one episode of vesicular or genital ulceration during the study period. In another trial,2 which showed a reduction of recurrences of HSV type 2 (HSV-2) with valacyclovir (1 g per day) in HIV-infected patients, 3 (6%) . . . [Full Text of this Article]


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