[Question #11833] HIV transmission/ARS

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12 months ago
Good morning, I’ll keep this short and sweet. Can you get HIV from deep/open mouth kissing? Iv read that the enzymes and proteins in Saliva do not allow for transmission. Would it be possible to have ARS 2 days after? (Nausea, vomit, diarrhea, fever, shaking). If I did for some odd reason get HiV, would even a standard antibody test become positive if I was having symptoms of ARS?
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Edward W. Hook M.D.
12 months ago
Welcome to the Forum.  Thanks for your questions.  I'll be glad to comment.

There are no proven cases of HIV acquired through kissing-0pen mouth or otherwise.  This is the case even if a partner has blood in their mouth, sores on there tongue or inside the mouth, or has dental or gum disease.  

Two days would be too soon for the ARS to begin.  The ARS is due to the presence of antibodies to the virus, as well as the virus.  Two days is too soon to develop antibodies and therefore too soon to develop that ARS   Typically the ARS is indicated by the presence of high fever, severe sore throat and widespread muscle or joint aches.  Some people with the ARS have diarrhea but nausea and vomiting are not typical..

If you were experiencing the ARS, a standard antibody test would be positive within a day of the onset of symptoms

I hope this information is helpful.  If you are experiencing the symptoms you describe, they are virtually ceratinly die to something other than HIV.  EWH
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12 months ago
Thank you Dr. Hook. I think I have just been feeling guilty about getting back out into the dating world, and kissing. So my brain is latching onto the possibility of contracting HIV through saliva. But that’s not possible. So I can confidently let this go, and not worry that I’m being irresponsible and it won’t pop up in the future?
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Edward W. Hook M.D.
12 months ago
Absolutely.  I encourage you to put any concerns you might have aside and move forward without concern.  I see no reason for concern and no reason for testing.  EWH---
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11 months ago
Hi Dr. Hook, I am just feeling anxious again and trying to remind myself of the facts. I'm trying not to google, but of course I did and I found a few cases where individuals did get HIV from deep kissing or a bad bite. I am trying to remind myself that I do not need to get tested after deep kissing with a white heterosexual male. I just wonder if those case studies were actually truly accurate. Can you give me a little information of why Saliva doesn't transmit HIV?

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Edward W. Hook M.D.
11 months ago
I cannot comment on the topic of HIV acquisition as a result of a bad bite which broke the skin.  It may have occurred.  I would challenge reports of becoming infected as a result of deep, open mouth kissing and would strongly recommend against testing if that was your only exposure.

Saliva does not transmit HIV both because if even present in saliva, the amount is too small for effective transmission.  Further, saliva contains substances that inhibit HIV transmission.

As this is my 3rd response, this thread will be closed shortly.  Take care.  Please don’t worry.  EWH
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