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To the Editor.—
The capillary blood sampler is widely used for home blood glucose monitoring. We suspect that it played a central role in the transmission of hepatitis B virus to the wife of one of our patients.
Report of a Case.—
The patient called us for information regarding postexposure immunoprophylaxis for hepatitis B. His wife had become jaundiced, and test results were found to be positive for hepatitis B surface antigen. Neither our patient nor his wife used intravenous drugs, were health care workers, or had any sexual contact with persons known to have hepatitis B. The wife was a diabetic and monitored her blood glucose level using a capillary blood sampler. She worked in a hair salon with a male homosexual who has chronic hepatitis B virus infection and who had experienced several episodes of shakiness, dizziness, and diaphoresis that resolved with the ingestion of sugar. Our patient's
Stapleton J, Lemon S. Transmission of Hepatitis B During Blood Glucose Monitoring. JAMA. 1985;253(22):3250. doi:10.1001/jama.1985.03350460046010