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.
KumarasamyN, SolomonS, FlaniganTP, HemalathaR, ThyagarajanSP, MayerKH. Natural history of human immunodeficiency virus disease in southern India.Clin Infect Dis2003; 36: 79–85.