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participating institutions:
Johns Hopkins University AIDS Service, New York State DOH AIDS Institute, The CORE Center, Cook County Hospital



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Occupational Transmission of Human Immunodeficiency Virus and Hepatitis C Virus After a Punch [Abel S, et al. CID 2000;31:1494]: A policeman in the French West Indies was involved in a bloody fight while making an arrest. Three weeks later he developed the acute retroviral syndrome with an HIV viral load of 503,000 c/mL. He seroconverted to HIV and subsequently seroconverted to HCV. The source was known to be infected with HIV-1, HTLV-1, HBV, and HCV; without therapy, his HIV viral load six months later was 52,900 c/mL and for HCV was 132,000 c/mL. Nucleotide sequencing of the V3 region of HIV for the two strains showed 98.7% identity and for the NS5b region of HCV showed 100% identity. The policeman has remained seronegative for HTLV-1 and was previously immune to HBV.
posted 1/18/2001





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