of interest to advice our patients
A Likely Case of Female-to-Female Sexual Transmission of HIV — Physician’s First Watch
A Likely Case of Female-to-Female Sexual Transmission of HIV
By Cara Adler
A rare case of HIV likely transmitted by sexual contact between two women is described in MMWR.
The case involved a monogamous serodiscordant couple who had been engaging in unprotected sex for 6 months. The newly seroconverted woman reported no other known risk factors for HIV infection. (Sexual transmission could not be confirmed in most past cases of HIV infection in women who have sex with women, because other risk factors were present or possible.)
The woman had tested HIV negative when donating plasma a few months before she seroconverted in 2012. Her partner had first tested positive for HIV in 2008 and had stopped antiretroviral treatment in 2010. Viruses from the two women were nearly identical.
Noting that the couple had not received counseling, the authors write, "HIV-discordant couples should receive counseling regarding safer sex practices, and HIV-infected partners should be linked to and retained in medical care."