{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T13:19:07Z","timestamp":1790255947392,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,11,21]],"date-time":"2014-11-21T00:00:00Z","timestamp":1416528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Acute hepatitis <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> infection is recognized in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected men who have sex with men (<jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content>), but the risk in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010negative <jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content> remains unclear. We evaluated a population of <jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content> with acute hepatitis C. From January 2010 to May 2014, all cases of <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> antibody positive <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010negative <jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content> were identified. European <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content> Network criteria were applied to determine acute infection, and 44 individuals fulfilled the criteria for acute hepatitis C. Ten were <jats:styled-content style=\"fixed-case\">RNA<\/jats:styled-content> negative at baseline and classed as prior spontaneous clearance. 15 (34.1%) had a previously negative <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> antibody within 1\u00a0year. 11 (25.0%) had significant elevation in <jats:styled-content style=\"fixed-case\">ALT<\/jats:styled-content> levels, and 18 (40.9%) were clinically diagnosed from risk exposure and history. Median age was 37\u00a0years (range 24\u201375). 41 (93.2%) individuals reported unprotected anal sex, 36 with (87.8%) both insertive and receptive intercourse, 4 (9.8%) with receptive intercourse, 1 (2.4%) with insertive intercourse, and no data were recorded for 3 (7.3%) patients. Individuals had an average of 7.3 reported (median 2, range 1\u2013100) partners. 12 (27.3%) engaged in group sex, 11 (25.0%) practised fisting, 11 (25.0%) admitted using drugs during sexual activity, 16 (36.4%) reported nasal, and 9 (20.5%) reported injection drug use. 14 (31.8)% had unprotected sex whilst under the influence of recreational drugs. 29 individuals were aware of a partner's status. 2 (4.5%) individuals had sexual contact with a known <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> monoinfected partner, 13 (29.5%) with a <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> monoinfected partner and 6 (13.6%) with a <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> coinfected partner. 9 (20.5%) reported a partner\/partners with no known infection. No data were available in 14 (31.8%) individuals. 13 (29.5%) individuals had a coexisting <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> at the time of acute <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> diagnosis. 8 (18.2%) received <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> postexposure prophylaxis (<jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content>) within the 6\u00a0months prior to the <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> diagnosis (2 were participants in a <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> pre\u2010exposure prophylaxis trial). 15 (34.1%) individuals achieved spontaneous clearance of <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content>, and 11 patients received <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> treatment. Similar to the ongoing epidemic of acute <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> infection in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>+ <jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> HIV<\/jats:styled-content>\u2010negative <jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content> remain at risk.<\/jats:p>","DOI":"10.1111\/jvh.12366","type":"journal-article","created":{"date-parts":[[2014,11,21]],"date-time":"2014-11-21T08:35:21Z","timestamp":1416558921000},"page":"535-538","source":"Crossref","is-referenced-by-count":51,"title":["Acute hepatitis <scp>C<\/scp> infection in <scp>HIV<\/scp>\u2010negative men who have sex with men"],"prefix":"10.1111","volume":"22","author":[{"given":"K.","family":"McFaul","sequence":"first","affiliation":[{"name":"Department of HIV and Genitourinary Medicine Chelsea and Westminster Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Maghlaoui","sequence":"additional","affiliation":[{"name":"Department of HIV and Genitourinary Medicine Chelsea and Westminster Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Nzuruba","sequence":"additional","affiliation":[{"name":"Department of HIV and Genitourinary Medicine Chelsea and Westminster Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Farnworth","sequence":"additional","affiliation":[{"name":"Department of HIV and Genitourinary Medicine Chelsea and Westminster Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Foxton","sequence":"additional","affiliation":[{"name":"Department of Hepatology Chelsea and Westminster Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Hepatology Chelsea and Westminster Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of HIV and Genitourinary Medicine Chelsea and Westminster Hospital NHS Foundation Trust London UK"},{"name":"Imperial College School of Medicine London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Devitt","sequence":"additional","affiliation":[{"name":"Department of HIV and Genitourinary Medicine Chelsea and Westminster Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,11,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/167.1.66"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-4453(94)91128-2"},{"issue":"3","key":"e_1_2_6_4_1","first-page":"213","article-title":"Hepatitis C virus infection in a male homosexual cohort: risk factor analysis","volume":"72","author":"Ndimbie OK","year":"1996","journal-title":"Genitourin Med"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/518796"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e32832e5631"},{"key":"e_1_2_6_7_1","first-page":"399","article-title":"Acute hepatitis C in HIV\u2010infected individuals\u2013recommendations from the NEAT consensus conference","author":"The European AIDS Treatment Network (NEAT) Acute Hepatitis C Infection Consensus Panel and Rockstroh JK","year":"2011","journal-title":"AIDS 25"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1086\/591699"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2010.217166"},{"key":"e_1_2_6_10_1","unstructured":"Tiraboschi JBL MichaelB SaundersJ GabrielS RocheN FoxJ on and b.o.t.P. 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