Is herpes a sign that one is HIV positive?
Apr 19, 2009
‘KISIPI’ or herpes zoster also known as shingles is caused by a virus known as varicella zoster which also causes chicken pox. It presents as a painful skin eruption and unlike chicken pox which causes a generalised skin rash, herpes zoster affects a
Face HIV with Dr. Watiti
Dear Doctor,
Recently I was hit by what we in Uganda call ‘Kisipi ‘. I tested for HIV but was found negative. I was told there is no cure other than giving steroids and pain killers. Can you please explain to me because I am scared. Is kisipi always a sign of HIV or it can also occur in HIV-negative people? What is the correct treatment?
Mark
Dear Mark,
‘Kisipi’ or herpes zoster also known as shingles is caused by a virus known as varicella zoster which also causes chicken pox. It presents as a painful skin eruption and unlike chicken pox which causes a generalised skin rash, herpes zoster affects a defined area much like a belt or ‘musipi’ in Luganda hence the name “kisipiâ€.
Normally when people suffer from chicken pox during childhood and recover, the virus stays in the body. But later due to stress or immune suppression caused by conditions such as infection by HIV, the virus maybe reactivated causing shingles.
So, although herpes zoster is a recognised sign of HIV infection, it does not mean that all people who have it are HIV-positive. It is a minor sign of HIV infection and all who get it should do an HIV test to rule out the infection.
Steroids may have been given to reduce inflammation but the treatment in early stages of the infection is acyclovir (zovirax) tablets given together with painkillers like panadol or aspirin.
Sometimes pain persists and stronger painkillers may need to be used. If sensitive organs like the eye are affected, the person should see an eye specialist early to avoid blindness.
Partner’s meet for experience sharing and getting the much needed support from people going through similar challenges.
Dear Doctor,
Recently I was hit by what we in Uganda call ‘Kisipi ‘. I tested for HIV but was found negative. I was told there is no cure other than giving steroids and pain killers. Can you please explain to me because I am scared. Is kisipi always a sign of HIV or it can also occur in HIV-negative people? What is the correct treatment?
Mark
Dear Mark,
‘Kisipi’ or herpes zoster also known as shingles is caused by a virus known as varicella zoster which also causes chicken pox. It presents as a painful skin eruption and unlike chicken pox which causes a generalised skin rash, herpes zoster affects a defined area much like a belt or ‘musipi’ in Luganda hence the name “kisipiâ€.
Normally when people suffer from chicken pox during childhood and recover, the virus stays in the body. But later due to stress or immune suppression caused by conditions such as infection by HIV, the virus maybe reactivated causing shingles.
So, although herpes zoster is a recognised sign of HIV infection, it does not mean that all people who have it are HIV-positive. It is a minor sign of HIV infection and all who get it should do an HIV test to rule out the infection.
Steroids may have been given to reduce inflammation but the treatment in early stages of the infection is acyclovir (zovirax) tablets given together with painkillers like panadol or aspirin.
Sometimes pain persists and stronger painkillers may need to be used. If sensitive organs like the eye are affected, the person should see an eye specialist early to avoid blindness.
Partner’s meet for experience sharing and getting the much needed support from people going through similar challenges.