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The absence of vaginal human papillomavirus 16 DNA in women who have not experienced sexual intercourse

The absence of vaginal human papillomavirus 16 DNA in women who have not experienced sexual... 254 Citations jirom the literature/International Journal of Gynecology % Obstetrics 48 (1995) 245-254 dichorionic twin pregnancy. One twin developed signs of in HIV seropositive women compared to HIV-seronegative hydrops fetalis consistent with parvovirus B19. The diagnosis controls were 2.6 (95% confidence interval [CI] 1.13-6.08) and was confirmed immunologically and by amniotic fluid culture. 3.3 (95% CI 1,15-9.67), respectively. After adjustment for vari- The second twin had no evidence of parvovirus B19 and no im- ables related to sexual habits, there was no difference in the risk of cervical C trachomatis infection between HIV seropositive munologic suggestion of infection at birth. This is the only known report of such differential transmission of parvovirus cases and HIV-seronegative controls (Mantel-Haenszel odds B19 in a twin pregnancy. ratio 1.04, 95% CI 0.93-1.14; P = 0.41). Finally, in HIV- seropositive patients, both the severity of immunosuppression evaluated by CD4+, CD8+, and total lymphocyte counts and the detection of p24 HIV-related antigen did not correlate with The absence of vagina1 bumao papiIIomavim 16 DNA in women the presence of chlamydial infection. Conclusions: Women who have not experienced SexuaI intercourse infected with HIV are at high risk for asymptomatic genitour- Rylander E.; Ruusuvaara L.; Almstromer M.W.; Evander M.; inary chlamydial colonization. To prevent a possible ‘epidemic’ Wade11 G. of pelvic inflammatory disease, appropriate screening programs SWE and therapeutic strategies should be planned. OBSTET GYNECOL 1994 83/5 I (735-737) Objective: To determine whether young women who have ParvovIrus B19 Infection In a twin pregnancy not experienced sexual intercourse may harbor genital human Pustilnik T.B.; Cohen A.W. papillomavirus (HPV) infection in the vaginal-ectocervical USA mucosa. Methods: We included 151 women, lo-25 years of OBSTET GYNECOL 1994 83/5 II (834-836) age, attending two adolescent health care units (Stockholm and Background: Parvovirus infection has been associated with Uppsala) and one primary health care center (Umea). The size the development of nonimmune hydrops fetalis in pregnancy. of the hymenal orifice, use of tampons, and the habit of digital This report describes a twin pregnancy in which one fetus was vaginal manipulation were registered. Samples of epithelial affected by parvovirus B19 and the other was not. Case: A 35- cells were collected from the vagina and analyzed for the year-old woman was found to have a twin gestation at genetic presence of HPV using polymerase chain reaction. Results: One amniocentesis. Subsequent ultrasound at 18 weeks showed that hundred thirty of 154 samples contained an adequate number twin B had evidence of hydrops fetalis. Serum from the mother of cells. Two samples were HPV 6 DNA-positive. None were tested positive for parvovirus Bl9 immunoglobulin (Ig) G and HPV 16 DNA-positive. None of the women had external geni- IgM. Cultured amniotic fluid from twin B was subsequently tal warts. In 84%, the hymenal opening was 15 mm or less. found to be positive for parvovirus B19. At 20 weeks’ gestation, Forty-eight percent of the women used tampons during the hydropic fetus died. The unaffected fetus grew normally. At periods. Fifty-four percent had inserted their own finger into 40 weeks, the unaffected fetus was delivered vaginally with no the vagina and in 23%, a boyfriend’s Anger had penetrated the difficulties. Cord blood from the unaffected fetus was negative vagina. Conclusion: Human papillomavirus is rarely present for parvovirus B19 IgM. Conclusion: This case demonstrates vaginally in virginal women, even with the use of tampons or differential infection of parvovirus B19 in a diamniotic, digital penetration. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Gynecology & Obstetrics Wiley

The absence of vaginal human papillomavirus 16 DNA in women who have not experienced sexual intercourse

International Journal of Gynecology & Obstetrics , Volume 48 (2) – Feb 1, 1995

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Publisher
Wiley
Copyright
© International Federation of Gynecology and Obstetrics
ISSN
0020-7292
eISSN
1879-3479
DOI
10.1016/0020-7292(95)90227-9
Publisher site
See Article on Publisher Site

Abstract

254 Citations jirom the literature/International Journal of Gynecology % Obstetrics 48 (1995) 245-254 dichorionic twin pregnancy. One twin developed signs of in HIV seropositive women compared to HIV-seronegative hydrops fetalis consistent with parvovirus B19. The diagnosis controls were 2.6 (95% confidence interval [CI] 1.13-6.08) and was confirmed immunologically and by amniotic fluid culture. 3.3 (95% CI 1,15-9.67), respectively. After adjustment for vari- The second twin had no evidence of parvovirus B19 and no im- ables related to sexual habits, there was no difference in the risk of cervical C trachomatis infection between HIV seropositive munologic suggestion of infection at birth. This is the only known report of such differential transmission of parvovirus cases and HIV-seronegative controls (Mantel-Haenszel odds B19 in a twin pregnancy. ratio 1.04, 95% CI 0.93-1.14; P = 0.41). Finally, in HIV- seropositive patients, both the severity of immunosuppression evaluated by CD4+, CD8+, and total lymphocyte counts and the detection of p24 HIV-related antigen did not correlate with The absence of vagina1 bumao papiIIomavim 16 DNA in women the presence of chlamydial infection. Conclusions: Women who have not experienced SexuaI intercourse infected with HIV are at high risk for asymptomatic genitour- Rylander E.; Ruusuvaara L.; Almstromer M.W.; Evander M.; inary chlamydial colonization. To prevent a possible ‘epidemic’ Wade11 G. of pelvic inflammatory disease, appropriate screening programs SWE and therapeutic strategies should be planned. OBSTET GYNECOL 1994 83/5 I (735-737) Objective: To determine whether young women who have ParvovIrus B19 Infection In a twin pregnancy not experienced sexual intercourse may harbor genital human Pustilnik T.B.; Cohen A.W. papillomavirus (HPV) infection in the vaginal-ectocervical USA mucosa. Methods: We included 151 women, lo-25 years of OBSTET GYNECOL 1994 83/5 II (834-836) age, attending two adolescent health care units (Stockholm and Background: Parvovirus infection has been associated with Uppsala) and one primary health care center (Umea). The size the development of nonimmune hydrops fetalis in pregnancy. of the hymenal orifice, use of tampons, and the habit of digital This report describes a twin pregnancy in which one fetus was vaginal manipulation were registered. Samples of epithelial affected by parvovirus B19 and the other was not. Case: A 35- cells were collected from the vagina and analyzed for the year-old woman was found to have a twin gestation at genetic presence of HPV using polymerase chain reaction. Results: One amniocentesis. Subsequent ultrasound at 18 weeks showed that hundred thirty of 154 samples contained an adequate number twin B had evidence of hydrops fetalis. Serum from the mother of cells. Two samples were HPV 6 DNA-positive. None were tested positive for parvovirus Bl9 immunoglobulin (Ig) G and HPV 16 DNA-positive. None of the women had external geni- IgM. Cultured amniotic fluid from twin B was subsequently tal warts. In 84%, the hymenal opening was 15 mm or less. found to be positive for parvovirus B19. At 20 weeks’ gestation, Forty-eight percent of the women used tampons during the hydropic fetus died. The unaffected fetus grew normally. At periods. Fifty-four percent had inserted their own finger into 40 weeks, the unaffected fetus was delivered vaginally with no the vagina and in 23%, a boyfriend’s Anger had penetrated the difficulties. Cord blood from the unaffected fetus was negative vagina. Conclusion: Human papillomavirus is rarely present for parvovirus B19 IgM. Conclusion: This case demonstrates vaginally in virginal women, even with the use of tampons or differential infection of parvovirus B19 in a diamniotic, digital penetration.

Journal

International Journal of Gynecology & ObstetricsWiley

Published: Feb 1, 1995

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