scholarly journals Acute HIV Infections among Men with Genital Ulcer Disease in South Africa

2010 ◽  
Vol 201 (12) ◽  
pp. 1811-1815 ◽  
Author(s):  
G. Paz Bailey ◽  
M. Sternberg ◽  
D. A. Lewis ◽  
A. Puren
1991 ◽  
Vol 67 (4) ◽  
pp. 322-326
Author(s):  
N O'Farrell ◽  
A A Hoosen ◽  
K D Coetzee ◽  
J van den Ende

2000 ◽  
Vol 27 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Cheng Y. Chen ◽  
Ronald C. Ballard ◽  
Consuelo M. Beck-Sague ◽  
Yusuf Dangor ◽  
Frans Radebe ◽  
...  

PLoS ONE ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. e0194125 ◽  
Author(s):  
Ranmini S. Kularatne ◽  
Etienne E. Muller ◽  
Dumisile V. Maseko ◽  
Tendesayi Kufa-Chakezha ◽  
David A. Lewis

2016 ◽  
Vol 31 (2) ◽  
pp. 61-65
Author(s):  
Jami S. Leichliter ◽  
David A. Lewis

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.


2020 ◽  
Vol 96 (8) ◽  
pp. 596-600
Author(s):  
Etienne E Muller ◽  
Ranmini Kularatne

ObjectivesWe used an in-house molecular assay for the detection of Klebsiella granulomatis in ulcer specimens collected over a 12-year surveillance period in order to determine whether a diagnosis of donovanosis could be ascribed to genital ulcer disease (GUD) of unknown aetiology in our setting.MethodsBetween 2007 and 2018, a total of 974 genital ulcer specimens with no previously identified sexually transmitted (STI) pathogens were selected from STI aetiological surveys conducted in all nine provinces of South Africa. Giemsa-stained ulcer smears from the same participants had previously been routinely analysed for the presence of typical Donovan bodies within large mononuclear cells. A Klebsiella screening assay targeting the phoE (phosphate porin) gene was used in combination with restriction digest analysis and sequencing to confirm the presence of K. granulomatis.ResultsThe Klebsiella screening assay tested positive in 19/974 (2.0%) genital ulcer specimens. Restriction digest analysis and nucleotide sequencing of the phoE gene confirmed that none of these specimens was positive for K. granulomatis DNA. Similarly, Donovan bodies were not identified in the Giemsa stained ulcer smears of these specimens.ConclusionsThis is the first study to assess K. granulomatis as a cause of genital ulceration in South Africa over a 12-year surveillance period using molecular methods. The results demonstrate that K. granulomatis is no longer a prevalent cause of GUD in our population.


1991 ◽  
Vol 67 (4) ◽  
pp. 327-330 ◽  
Author(s):  
N O'Farrell ◽  
A A Hoosen ◽  
K D Coetzee ◽  
J van den Ende

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