International Journal of STD & AIDS > Volume 19, Number 12 > Pp. 868-869

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Case reports

A peculiar case of HIV transmission within a family in north India

N Wal MSc ^*, V Venkatesh MD ^* , P Jain PhD , S Barua MA , A K Tripathi MD  and S K Agarwal MD ^*

^* Department of Microbiology; Integrated Counseling and Testing Centre; Department of Medicine, Chhatrapati Shahuji Maharaj Medical University, Lucknow 226 003, Uttar Pradesh, India

Correspondence to: Dr V Venkatesh, Postgraduate Department of Microbiology, Chhatrapati Shahuji Maharaj Medical University, Lucknow 226 003, Uttar Pradesh, India Email: venkatesh_vimala{at}rediffmail.com

We describe an unusual case of heterosexual HIV transmission between two brothers within a family, due to a locally prevalent social custom of remarriage of the elder brother's widow, to the younger brother. This case of HIV secondary transmission, which could possibly have been stopped at certain points by better understanding and awareness about HIV transmission emphasizes the need for extensive post-test counselling of affected individuals and their family members.

Key Words: HIV • heterosexual • sexual behaviour

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