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. 1990 Dec;80(12):1509–1511. doi: 10.2105/ajph.80.12.1509

HIV seroconversion in two homosexual men after receptive oral intercourse with ejaculation: implications for counseling concerning safe sexual practices.

A R Lifson 1, P M O'Malley 1, N A Hessol 1, S P Buchbinder 1, L Cannon 1, G W Rutherford 1
PMCID: PMC1405129  PMID: 2240343

Abstract

Seroconversion for HIV antibody occurred in two homosexual men who reported no anal intercourse for greater than or equal to 5 years and multiple episodes of receptive oral intercourse with ejaculation. Neither man reported intravenous drug use or receipt of blood products. The last antibody-negative specimen was also negative by the polymerase chain reaction and p24 antigen assays. All sexually active persons should be clearly counselled that receptive oral intercourse with ejaculation carries a potential risk of HIV transmission.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Darrow W. W., Echenberg D. F., Jaffe H. W., O'Malley P. M., Byers R. H., Getchell J. P., Curran J. W. Risk factors for human immunodeficiency virus (HIV) infections in homosexual men. Am J Public Health. 1987 Apr;77(4):479–483. doi: 10.2105/ajph.77.4.479. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. DeGruttola V., Mayer K. H. Human immunodeficiency virus and oral intercourse. Ann Intern Med. 1987 Sep;107(3):428–429. doi: 10.7326/0003-4819-107-2-428_2. [DOI] [PubMed] [Google Scholar]
  3. Detels R., English P., Visscher B. R., Jacobson L., Kingsley L. A., Chmiel J. S., Dudley J. P., Eldred L. J., Ginzburg H. M. Seroconversion, sexual activity, and condom use among 2915 HIV seronegative men followed for up to 2 years. J Acquir Immune Defic Syndr. 1989;2(1):77–83. [PubMed] [Google Scholar]
  4. Fox P. C., Wolff A., Yeh C. K., Atkinson J. C., Baum B. J. Saliva inhibits HIV-1 infectivity. J Am Dent Assoc. 1988 May;116(6):635–637. doi: 10.14219/jada.archive.1988.0002. [DOI] [PubMed] [Google Scholar]
  5. Gallo D., Diggs J. L., Shell G. R., Dailey P. J., Hoffman M. N., Riggs J. L. Comparison of detection of antibody to the acquired immune deficiency syndrome virus by enzyme immunoassay, immunofluorescence, and Western blot methods. J Clin Microbiol. 1986 Jun;23(6):1049–1051. doi: 10.1128/jcm.23.6.1049-1051.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hessol N. A., Lifson A. R., O'Malley P. M., Doll L. S., Jaffe H. W., Rutherford G. W. Prevalence, incidence, and progression of human immunodeficiency virus infection in homosexual and bisexual men in hepatitis B vaccine trials, 1978-1988. Am J Epidemiol. 1989 Dec;130(6):1167–1175. doi: 10.1093/oxfordjournals.aje.a115445. [DOI] [PubMed] [Google Scholar]
  7. Jaffe H. W., Darrow W. W., Echenberg D. F., O'Malley P. M., Getchell J. P., Kalyanaraman V. S., Byers R. H., Drennan D. P., Braff E. H., Curran J. W. The acquired immunodeficiency syndrome in a cohort of homosexual men. A six-year follow-up study. Ann Intern Med. 1985 Aug;103(2):210–214. doi: 10.7326/0003-4819-103-2-210. [DOI] [PubMed] [Google Scholar]
  8. Lifson A. R. Do alternate modes for transmission of human immunodeficiency virus exist? A review. JAMA. 1988 Mar 4;259(9):1353–1356. [PubMed] [Google Scholar]
  9. Lifson A. R., Stanley M., Pane J., O'Malley P. M., Wilber J. C., Stanley A., Jeffery B., Rutherford G. W., Sohmer P. R. Detection of human immunodeficiency virus DNA using the polymerase chain reaction in a well-characterized group of homosexual and bisexual men. J Infect Dis. 1990 Mar;161(3):436–439. doi: 10.1093/infdis/161.3.436. [DOI] [PubMed] [Google Scholar]
  10. Moss A. R., Osmond D., Bacchetti P., Chermann J. C., Barre-Sinoussi F., Carlson J. Risk factors for AIDS and HIV seropositivity in homosexual men. Am J Epidemiol. 1987 Jun;125(6):1035–1047. doi: 10.1093/oxfordjournals.aje.a114619. [DOI] [PubMed] [Google Scholar]
  11. Rozenbaum W., Gharakhanian S., Cardon B., Duval E., Coulaud J. P. HIV transmission by oral sex. Lancet. 1988 Jun 18;1(8599):1395–1395. doi: 10.1016/s0140-6736(88)92205-2. [DOI] [PubMed] [Google Scholar]
  12. Schechter M. T., Boyko W. J., Douglas B., Maynard M., Willoughby B., McLeod A., Craib K. J. Can HTLV-III be transmitted orally? Lancet. 1986 Feb 15;1(8477):379–379. doi: 10.1016/s0140-6736(86)92338-x. [DOI] [PubMed] [Google Scholar]
  13. Winkelstein W., Jr, Lyman D. M., Padian N., Grant R., Samuel M., Wiley J. A., Anderson R. E., Lang W., Riggs J., Levy J. A. Sexual practices and risk of infection by the human immunodeficiency virus. The San Francisco Men's Health Study. JAMA. 1987 Jan 16;257(3):321–325. [PubMed] [Google Scholar]

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