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Enhanced risk of HIV sexual transmission during structured treatment interruption
  1. E Teicher,
  2. T Casagrande,
  3. D Vittecoq
  1. Unité des Maladies Infectieuses, Hôpital Paul Brousse, 94804 Villejuif, France
  1. Correspondence to:
 Elina Teicher;
 elina.teicher{at}pbr.ap-hop-paris.fr

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We report a case of HIV transmission through sexual intercourse while the sexual partner underwent antiretroviral structured treatment interruption. We would like to underline that giving proper information about a higher contamination risk during structured treatment interruption is a critical issue. Moreover, we consider that it is the responsibility of a medical investigator and physician to deliver a clear message in order to reinforce prophylaxis indications for sexual intercourse during this period.

A patient was infected with HIV for 9 years when he started HAART. At this time, his CD4 count was 280 × 106/l and plasma viral load was 5.1 log10/ml. A first structured treatment interruption (2 months’ duration) was proposed after 2 years, while plasma viral load was undetectable. He was …

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