New AIDS Threat Emerging in India Among ‘Call Center Romeos’

Posted by Dr. Smile 22 June, 2008 (5) Comment

A new AIDS threat is rising in India’s numerous call centers, where young staff are increasingly having unprotected sex with multiple partners in affairs developed during night shifts, a top AIDS expert has warned. While India has made great strides in bringing down its HIV infection rate, the promiscuity among “call center Romeos” is a great concern, Dr.

Suniti Solomon, who detected the first HIV case in India in 1986, told an international medical conference Saturday. The United Nations, however, still estimates there are some 2.5 million Indians living with HIV and AIDS now.

“India has reached a plateau of the infections,” Solomon told the International Congress on Infectious Diseases, which ends Sunday. Her concern now is the call centers, where many of the young staff work at night to correspond with the daytime working hours of their American and European clients.

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Oral Complications of HIV Infection

Posted by Dr. Smile 23 March, 2008 (4) Comment

Hairy leukoplakia is the most common oral lesion (20.4%) in HIV-infected patients. Candidiasis is the next most common lesion (5.8%).

Candidiasis

Oral candidiasis (thrush) often precedes the development of AIDS in HIV-seropositive individuals. The most common form of oral candidiasis is pseudomembranous candidiasis, appearing as white plaques on any oral mucosal surface, which may be as small as 1 to 2 mm or may be widespread. Lesions can be wiped off, leaving an erythematous or bleeding mucosal surface.

The erythematous form of candidiasis appears as smooth red patches on the hard or soft palate, buccal mucosa, or dorsal tongue. Angular cheilitis due to Candida infection produces erythema, cracks, and fissures at the corner of the mouth.

Diagnosis of oral candidiasis is by potassium hydroxide preparation of a smear from the lesion.

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