Just in case you missed this:
Transmission of HIV-1 and HCV by Head-Butting (Research Letter)" Lancet (11/08/97) Vol. 350, No. 9088, P. 1370; Brambilla, Andrea; Pristera, Raffaele; Salvatori, Francesca; et al. Following an automobile accident, two men who had never met before had a fight, in which one man--an intravenous drug user who was HIV-1 positive--head-butted the other. During the assault, the other man's metal-rimmed glasses left open wounds on the foreheads of both men. Three days after the fight, the man who was head-butted tested HIV-1-negative. He developed symptoms of primary HIV-1 infection two weeks later and tested positive for both acute hepatitis B and for antibodies against all the main HIV-1 structural proteins about three months after the attack; HIV-1 EIA was negative, however. Researchers at the San Raffaele Scientific Institute in Italy conducted DNA sequencing of the two men's peripheral blood mononuclear cells 126 days after the assault. Results compared against a control group revealed a strong similarity between the men's HIV-1 DNA, suggesting that the skin injuries from the head-butt provided HIV-1 and HBV direct access to the bloodstream. The attacker had also been infected with hepatitis C, but the researchers suggest that the virus was not transmitted because the head-butter's HCV viral burden was under 1,000 copies/mL plasma. |