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Although someone with an HIV infection is at an increased risk of developing shingles, it is still true that the vast majority of people seen with shingles do NOT have an HIV infection. And that is still true for younger people that develop shingles.
It is reasonable that everyone that is sexually active outside of a mutually monogamous relationship should be checked regularly for HIV, even if protection is consistently used. Certainly, using protection is the best that can be done if someone is sexually active, but it does not completely eliminate the risk.
So, if you are sexually active outside a mutually monogamous relationship, it is reasonable to be checked for HIV and I routinely recommend this to my patients, but I do not order additional testing in a young adult that develops shingles.
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