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Case report: cobblestone
A new way to catch hepatitis C
  1. S Curtis1,
  2. M Poulton2,
  3. M Fisher3,
  4. C Teo4
  1. 1Brighton Public Health Laboratory, Royal Sussex County Hospital
  2. 2Department of Genitourinary Medicine, Newham General Hospital
  3. 3Department of Genitourinary Medicine, Royal Sussex County Hospital
  4. 4Sexually Transmitted and Blood-Borne Virus Laboratory, PHLS, Central Public Health Laboratory, Colindale, UK
  1. Correspondence to:
 S Curtis, Public Health Laboratory, Royal Sussex County Hospital, Eastern Road, Brighton BN2 5BE, UK;
 sally.curtis{at}bsuh.nhs.uk

https://doi.org/10.1136/sti.78.6.459

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    Transmission of hepatitis C virus (HCV) is mainly parenteral; injecting drug use is the principal risk factor in Western populations. Epidemiological studies have found rates of sexual transmission of 2–12%1 with higher rates in homosexual men but lower rates in heterosexual monogamous couples (where one partner is infected).We report an obvious but probably overlooked route of transmission.

    The index case was a 35 year old HIV positive man who had been on highly active antiretroviral treatment (HAART) for 10 months.

    He presented in May 2000 with a history of fatigue, malaise, and vague abdominal discomfort for several weeks. At this time liver …

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