[Question #4574] Lip Bite-Bleed and cold sore

28 months ago
Hi,
I was kissing a girl who bit me on my lip aggressively. It bled for a good 5 mins and I had bruise for two days. The main thing was that she had a cold sore  which also burst open and blood/pus came out of it. We continued kissing each other and didn’t mind it then.
Two days later, I too developed cold sores. Now I am worried that blood from her open sore came in contact with the bleeding cut of the mucous membrane of the lip. Both of them were actively bleeding.
Do I need to get tested? 
Thanks,

Edward W. Hook M.D.
Edward W. Hook M.D.
28 months ago
Welcome to the Forum.  I'll be glad to comment.  HIV is not transmitted by kissing.  There are reports that HIV has been, very rarely, transmitted by deep human bites but this really is extraordinarily rare, even with the sort of bleeding you describe.  You do not know that your partner had HIV and statistically it is quite unlikely that she was.  While I do not not know where you are, here in North America only a fraction of 1% of women have HIV. Putting all of this together, personally I would not feel the need for testing if the incident you describe was your only exposure but, of course, testing is a personal choice.  In your case, if you test with the currently used, combination HIV antigen/antibody tests,  your results will be more than 99% accurate at 4 weeks after the incident and completely, 100% accurate at 6 weeks.

I hope this comment is helpful. EWH
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28 months ago
Hi Doctor,
Thank you for your reply. I asked the girl about the cold sores and she said she never got them. I have no reason to trust her but is there a case where a lip bite (which doesn’t require stitches) and mutual bleeding been reported? This incident happened on the weekend and I got the cold sore two days later. If testing is warranted, I would do it after four weeks.
Awaiting your reply.
Edward W. Hook M.D.
Edward W. Hook M.D.
28 months ago
 I amo to aware on any cases in which HIV was acquired from biting and/or mediated by the presence of a cold sore.  EWH---
28 months ago
Hello Doctor,
On the basis of my experience-
I had really bad sore throat for a week and swollen glands with it. I still have dry cough and there are red rashes on my face and upper body.
Are these symptoms or I am over thinking and connecting stuff? I am sorry but I m hopeful you will reply.
Edward W. Hook M.D.
Edward W. Hook M.D.
27 months ago
Sorry for the delayed final response.,  These symptoms are far, far more likely to be due to a run-of-the-mill viral sore throat than HIV or any other STI acquired through the exposure you described.  Please don't worry.

end of thread.  EWH
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