[Question #2248] Love Bite Concerned

44 months ago
Good morning,

Hope all is well.   Have a question and was looking for some clarification.  Four days ago, I was at a strip club enjoying myself.  Not being naughty, I learned from past experiences.  As I was enjoying my lap dance the young lady decided to bite my neck.  I quickly pushed her away and told her not to do that.  I went to the rest room to see if she caused a mark or caused any bleeding.  I noticed my neck was red  but no blood.  A few days later I see no marks or scabs at all.  As a note. I did shave a few hours earlier.  Should I be concerned and have testing done for HIV, HEP B, or HEP C?
Thanks,
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
44 months ago
Welcome back to the forum. Congratulations on your safe approach to these sorts of recreational events.

You really needn't worry at all about this event. Without a break in the skin, there is absolutely no risk of HIV or either of the blood borne hepatitis viruses. In fact, even with an actual bite with bleeding, transmission of these viruses is very rare if it occurs at all. It's one of those theoretical things always included in lists of risks, but to my knowledge there have been no actualy reported cases of HIV transmitted by biting. Among other things, HIV is rarely present in the mouth of infected persons, at least partly because saliva kills HIV. Oral exposure of any kind (kissing, oral sex) almost never transmits HIV. There might be slighly higher risk of hep B or C, but even these probably are rarely transmitted by biting, and certainly not if the skin wasn't broken. That you had shaved recently doesn't really change anything.

So I recommend no testing and no worry. Just go on with your life as normal.

I hope this has been helpful. Best wishes and stay safe--  HHH, MD

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44 months ago
Thanks for getting back to me.  Let's say the skin was broken and I did not notice, would your reply still be the same?  Would large amounts of blood have to be present from her mouth?  She did open a beer bottle with her teeth prior to my dance.  Trying to provide all details.  Thanks,
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
44 months ago
I don't see the value in speculating about something that didn't happen. How could the skin be broken and yet you didn't notice? If there's not a visible cut, bleeding, etc, there was no break in the skin.

As I said, there have been few or no proved cases of transmission by biting. Therefore, even if there were a real bite, there are no data on whether or how much blood would have to be in the mouth. But I would doubt any risk if there was no visible blood in her mouth at the time of contact. I can't see how opening a beer bottle with her teeth would make any difference.

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