Unusual modes of HIV transmission. (II)

To the Editor: Two letters in the January 26 issue of the Journal describe patients with human immunodeficiency virus (HIV) infection that may have been acquired through uncommon modes of transmission: acupuncture¹ and female-to-male oral–genital contact.² Although plausible, the authors' arguments would be strengthened by additional information about the suggested sources of infection. In the acupuncture case, it would be useful to know the procedures used to clean the equipment, the acupuncturist's clientele, and if possible, the HIV-infection or risk status of persons treated before the case patient. In the case of the man who may have acquired HIV infection…