Apologies to bother you again :

Just wanted to update you on this : It’s been exactly 7 days since the exposure where my partner bit my nipple :

Today i noticed dry skin arount the nipple and feel a slight burning . I am really worried now that what if the skin had broken when he bit me .

Also i have been having around 99 fever on and off . I am worried about it being ars. Request you to please advise me on this . Thank you again 

Request you to please kindly advise . Thanks doctor 

1.  The case that you found a reference to was nothing like the bite you experienced. The bite in the case report was severe, broke the skin and tore the nail from this person‘s hand. You are not even sure that your skin was broken. If ever a bite was going to transmit HIV, it would certainly be in the sort of encounter described in this case report. 

2.  You don’t mention whether or not your partner has HIV or if he had HIV whether or not he was on therapy. Statistically it is unlikely that he did.  Most People do not have HIV and when persons have HIV and are on effective treatment there infection is not transmissible to others.

3.  From your earlier questions you ask about the possibility of post exposure prophylaxis (PEP) however PEPis only effective when taken within 72 hours of an exposure. At this point, nearly a week after the event you described, there would be no reason to take PEP even if you were exposure had been significant.

 

4.  Neither dry skin nor tingling add a side of exposure is a sign of recently acquired HIV. You’re a temperature of 99° is not suggestive of recently acquired HIV either.  FYI, when persons become symptomatic from recently acquired HIV they typically experience high fevers (far greater than 99°), a severe sore throat, and muscle and or joint aches.

In summary, I completely agree with Dr. Handsfield that the exposure you reported was a virtually no risk event, that there is no need to consider taking PEP following that, particularly at this time, and urge you to do your best to move on without continuing concern. EWH

thanks for your revert . the skin around the bitten area has peeled off and it looks dry . could it be because i of a break in the skin when i was bitten ? it was a painful love bite in the heat of them moment , hence i am a bit worried . plz advise . thanks 

have you come across any such cases in your practice ? plz advsje . thanks again 

Thanks for your revert .

Had a couple of follow up questions:

1. I do not know the perosns hiv status .Hence i was a bit worried . Assuming he was positive and not on treatment , i am still not at risk ? Should i have taken PEP within 48 hours ? What kind of exposures require PEP usually ?

2. After a week of the bite i noticed the skin peeling around my nipple . As you mentioned this isn’t any infection .

However my concern is that maybe the skin had broken at the time of the bite and now it’s growing back , hence the skin appears to be dry and peeling .

3. I was doing a back laser hair removal today and the therapist uses disposable razors usually , however todyw i did not see if he used a new razor or not . A small pimple on my back bled due to the shaving process . If he had reused someone else’s razor on me is that a risk ? Sinxe there are stories of people catching hiv from barbers or razors , etc . Hence wanted to clarify this as well please .

4. Do i need to test after the bite exposure ? i just tested before the bite and it was negative . Do i need to test again because if this specific exposure ?

5. Also i don’t see any gay men using condoms for oral sex . Everybody assumes oral sex is risk free , however as i have read on your forums as well , oral sex does carry a very low risk . Request your clarification on this please .

Thanks again for all your support and help . 

1.  This is a repetitive question. My response is unchanged. The love bite you described was a no risk event, Even if your partner happen to be HIV infected. Post exposure prophylaxis is recommended for persons with unprotected penetrative general or anal intercourse with an infected partner or following deep needle sticks with a needle what you been recently used by a person known to be HIV infected.

2.  This too is a repetitive statement. Dry, peeling skin is not a sign of skin that had been broken and it’s healing nor is it a sign of recently acquired HIV.

3.  You are clearly overly concerned about risk for HIV. The odds that the razor used was not a new razor are extraordinarily low and even if it had been the likelihood of infection from an exposure of that sort is virtually zero.

4.  Testing as a personal choice however there is no medical or scientific reason for you to pursue testing because of the love bite you’ve described.

5.  This question has been answered many times on this forum. There are no proven cases in which someone has acquired HIV from receiving oral sex from an infected partner. The risk of acquiring HIV from performing unprotected oral sex on an untreated, HIV infected person is exceedingly low, less than one infection occurs for every 10,000 exposures. In other words, 99.99% of such exposures with a known infected, untreated partner will not lead to infection.

Final comment. It appears that you are more concerned about the risk for HIV than you need to be. Most people do not have HIV. Most people who have HIV are on treatment, at least here in North America and western Europe. Even should you be exposed to an untreated, infected partner the risk of infection remains very, very low. I hope that the information I provided will allow you to move forward and put aside your excessive concerns. This completes this thread. EWH