The first case of HIV-2 in Scotland. Issue 3 (10th December 2019)

• Record Type: Journal Article
• Authors: Shepherd, S. J.; Sykes, C.; Jackson, C.; Bell, D. J.; Gunson, R. N.
• Is Part Of: Access microbiology. Volume 2:Issue 3(2020)
• Publication Date: 2019-12-10
• Subjects: HIV2 -- antiretrovirals -- diagnosis -- treatment; Microbiology -- Periodicals; 579
• DOI: 10.1099/acmi.0.000087
• Languages: English
• ISSNs: 2516-8290

Abstract

Abstract : HIV-1 infects an estimated 37 million people worldwide, while the rarer HIV-2 infects 1–2 million worldwide. HIV-2 is mainly restricted to West African countries. The majority of patients in Scotland are diagnosed with HIV-1, but in 2013 the West of Scotland Specialist Virology Centre (WoSSVC) diagnosed Scotland's first HIV-2 positive case in a patient from Côte d'Ivoire. HIV-2 differs from HIV-1 in terms of structural viral proteins, viral transmissibility, prolonged period of latency, intrinsic resistance to certain antivirals and how to monitor the effectiveness of treatment. Over the course of 5 years the patient has required several changes in treatment due to both side effects and pill burden. This case highlights the complexity of HIV-2 patient management over time.