Dual-strain genital herpes simplex virus type 2 (HSV-2) infection in the US, Peru, and 8 countries in sub-Saharan Africa: A nested cross-sectional viral genotyping study.
Christine JohnstonAmalia S MagaretPavitra RoychoudhuryAlexander L GreningerDaniel B ReevesJoshua SchifferKeith R JeromeCassandra SatherKurt DiemJairam R LingappaConnie CelumDavid M KoelleAnna WaldPublished in: PLoS medicine (2017)
HSV-2 dual-strain infection was detected in 3.7% of paired samples from individual participants, and was more frequent among people with HIV infection. Simulations suggest that the true prevalence of dual-strain infection is 7%. Our data indicate that naturally occurring immunity to HSV-2 may be protective against infection with a second strain. This study is limited by the inability to determine the timing of acquisition of the second strain.