Transmission of HIV Infection from a Woman to a Man by Oral Sex

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To the Editor: In the United States, female-to-male sexual transmission of HIV has been reported infrequently.* Until now, oral sex alone has not been proved to be a mode of transmission of HIV from women to men. We now report what appears to be a case of HIV transmission from a woman to a man exclusively by oral sex.Our patient, a 60-year-old uncircumcised man with insulindependent diabetes mellitus, was hospitalized because of fatigue, abnormalities of mental status, and pancytopenia. On examination, he was found to have subcortical dementia and diabetic peripheral neuropathy. His workup included a lumbar puncture, which . . .

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