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Possible Reinfection
Apr 4, 2004

My partner and I are HIV+. We both have undetectable Viral Load, and our CD4 count is over 600. I passed on the virus to him. I am taking VIREAD+3TC+EFAVIRENZ, while he is taking TRIZIVIR. Yesterday, as we were having sex, the condom we were using was torn and I ejaculated inside his colon tract. What are the possibilities of reinfection?

Sincerily yours, Matt

Response from Dr. Frascino

Hello Matt,

First off, coinfection with two different HIV strains (also called reinfection or superinfection) does indeed occur, and has been scientifically documented. How often this occurs and under what circumstances is still being evaluated. In cases such as yours, in which both of you have undetectable viral loads, are on effective HAART, and had only a single exposure, the risk for reinfection/superinfection would be exceedingly low.

Continue to play safe and to use quality latex condoms. And always remember, "lubrication is your friend." (Water-based, of course!) Stay well.

Dr. Bob



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