RISK FACTORS FOR HTLV-II INFECTION IN PERUVIAN MEN WHO HAVE SEX WITH MEN

JOSEPH R. ZUNT Department of Neurology, Center for AIDS and STD, University of Washington School of Medicine, Seattle, Washington; Asociación Civil Impacta Salud y Educación (IMPACTA), Oficina General de Epidemiologia, Instituto Nacional De Salud, Lima, Peru

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ALBERTO M. LA ROSA Department of Neurology, Center for AIDS and STD, University of Washington School of Medicine, Seattle, Washington; Asociación Civil Impacta Salud y Educación (IMPACTA), Oficina General de Epidemiologia, Instituto Nacional De Salud, Lima, Peru

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JESÚS PEINADO Department of Neurology, Center for AIDS and STD, University of Washington School of Medicine, Seattle, Washington; Asociación Civil Impacta Salud y Educación (IMPACTA), Oficina General de Epidemiologia, Instituto Nacional De Salud, Lima, Peru

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JAVIER R. LAMA Department of Neurology, Center for AIDS and STD, University of Washington School of Medicine, Seattle, Washington; Asociación Civil Impacta Salud y Educación (IMPACTA), Oficina General de Epidemiologia, Instituto Nacional De Salud, Lima, Peru

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LUIS SUAREZ Department of Neurology, Center for AIDS and STD, University of Washington School of Medicine, Seattle, Washington; Asociación Civil Impacta Salud y Educación (IMPACTA), Oficina General de Epidemiologia, Instituto Nacional De Salud, Lima, Peru

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MONICA PUN Department of Neurology, Center for AIDS and STD, University of Washington School of Medicine, Seattle, Washington; Asociación Civil Impacta Salud y Educación (IMPACTA), Oficina General de Epidemiologia, Instituto Nacional De Salud, Lima, Peru

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CESAR CABEZAS Department of Neurology, Center for AIDS and STD, University of Washington School of Medicine, Seattle, Washington; Asociación Civil Impacta Salud y Educación (IMPACTA), Oficina General de Epidemiologia, Instituto Nacional De Salud, Lima, Peru

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JORGE SANCHEZ Department of Neurology, Center for AIDS and STD, University of Washington School of Medicine, Seattle, Washington; Asociación Civil Impacta Salud y Educación (IMPACTA), Oficina General de Epidemiologia, Instituto Nacional De Salud, Lima, Peru

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Human T-cell lymphotropic virus type-II (HTLV-II) infection is endemic in indigenous groups in the Americas and injection drug users (IDUs) worldwide. In Peru, HTLV-II infection was previously identified in two indigenous Amazonians. We examined risk factors for HTLV-II infection in 2,703 Peruvian men who have sex with men (MSM): 35 (1.3%) were HTLV-II positive. HTLV-II infection was associated with syphilis, HSV-2 infection, unprotected receptive anal intercourse, and older age. This is the first report of HTLV-II in a non-indigenous non-IDU population in Peru. Additional studies are needed to determine if HTLV-II is a sexually transmitted infection in this and other sexually active populations.

Author Notes

Reprint requests: Joseph R. Zunt, MD, MPH, Harborview Medical Center, 325 Ninth Avenue, Box 359775, Seattle, WA 98104, E-mail: jzunt@u.washington.edu.
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