To the Editor.
—We report a case of probable human immunodeficiency virus (HIV) transmission during a bloody fight.The source patient (subject 1) was a 29-year-old former intravenous drug user, HIV-positive since 1989, treated with zidovudine from December 1989 to December 1990, and diagnosed as having the acquired immunodeficiency virus (AIDS) in June 1991. In February 1992 his CD4+ lymphocyte cell count was 0.032×109/L(32/μL), and he was classified as having AIDS dementia. His brother (subject 2) was 27 years old and had no known risk factors for HIV.On February 29,1992, during a disagreement in the house where both subjects were living, subject 2 attacked subject 1 by repeatedly banging his forehead against the face and forehead of subject 1. Injuries to subject 1 included a nasal hemorrhage that bled profusely and laceration of the central forehead requiring sutures. Subject 2 sustained a supraorbital laceration of the right
Ippolito G, Poggio PD, Arici C, Gregis GP, Antonelli G, Riva E, Dianzani F. Transmission of Zidovudine-Resistant HIV During a Bloody Fight. JAMA. 1994;272(6):433-434. doi:10.1001/jama.1994.03520060031019