Gastrointestinal viral infections in homosexual men who were symptomatic and seropositive for human immunodeficiency virus

J Infect Dis. 1988 Aug;158(2):386-91. doi: 10.1093/infdis/158.2.386.

Abstract

Gastrointestinal viruses, predominantly rotaviruses and adenoviruses, were detected by enzyme-linked immunosorbent assay, electron microscopy, or cell culture in greater than 50% of two groups of homosexual men with symptomatic human immunodeficiency virus (HIV) infection, who did (54%) or did not (50%) have diarrhea. Lower detection rates were observed in HIV-seronegative (15%) and asymptomatic HIV-seropositive (16%) men. In the patients with diarrhea, 95% of the isolates of virus were found in the most immunosuppressed patients, those patients with AIDS-related complex or opportunistic infections associated with AIDS. High excretion rates of these viruses are probably associated with both anal-oral transmission and immunosuppression. These viruses apparently cause acute episodes or relapses of diarrhea in some patients but may be co-pathogens or noncontributory to chronic diarrhea in others.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • AIDS-Related Complex / complications
  • AIDS-Related Complex / microbiology
  • Acquired Immunodeficiency Syndrome / complications*
  • Acquired Immunodeficiency Syndrome / microbiology
  • Adenoviridae / isolation & purification
  • Diarrhea / complications
  • Diarrhea / microbiology*
  • Enterovirus / isolation & purification
  • Feces / microbiology
  • HIV Seropositivity*
  • Homosexuality*
  • Humans
  • Male
  • Norwalk virus / isolation & purification
  • Rotavirus / isolation & purification
  • Virus Diseases / complications*
  • Virus Diseases / microbiology
  • Viruses / isolation & purification