title: Female-to-female transmission of syphilis: a case report.
abstract: BACKGROUND
  The rate of transmission of HIV and other sexually transmitted infections from female to female is a matter of debate. Sexually transmitted disease among lesbians and female bisexuals is usually associated with sexual contact with men or intravenous drug use. There is little evidence that female-to-female transmission of syphilis can occur.
  
  
  OBJECTIVE
  To demonstrate that female-to-female transmission of syphilis can occur through oral-genital sex.
  
  
  METHODS
  Case report of syphilis transmission from one female to another through oral-genital sex.
  
  
  CONCLUSIONS
  Female-to-female transmission of syphilis can occur through oral-genital sex.
authors.affiliation: Division of Public Health Clinical Services, Maricopa County Department of Public Health, Phoenix, Arizona 85006, USA. dcampos@mail.maricopa.gov
authors.forename: Doug
authors.initials: D
authors.lastname: Campos-Outcalt
authors.forename: Steven
authors.initials: S
authors.lastname: Hurwitz
mesh_terms: D003937:Diagnosis, Differential; D018562:Disease Transmission, Infectious; D005260:Female; D018452:Homosexuality, Female; D006801:Humans; D008875:Middle Aged; D013587:Syphilis / Q000175:diagnosis* / Q000635:transmission*