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However, three studies of the source of infection of all women with AIDS in the US have failed to identify any cases of woman-to-woman transmission.

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The woman also had good oral health, which physicians took to mean that oral transmission could be ruled out.Upon the death of her partner in 1989 the woman tested HIV-positive.She had a relatively high CD4 count, suggesting that she had been infected recently.Doctors suggest the woman may have been infected through sharing sex toys after drug-resistance tests found striking similarities between the genotypes of the woman and her female HIV-positive partner.The case concerns a 20-year-old woman, from Philadelphia, who presented with HIV infection having had a negative HIV test result six months earlier.

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