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Officials say a 22-year-old woman was recently diagnosed with an advanced form of HIV, linking her transmission back to a manicure.

According to the US National Library of Medicine National Institutes of Health, a 22-year-old woman was recently diagnosed with HIV and doctors learned that the virus had been a long-standing infection.

Officials began looking into her past to see if she had any contact with someone with HIV.

“About 10 years ago the patient shared manicure utensils with an older cousin, later known to be HIV infected,” the report read.

The report concludes that this case may mean that there is another way to transmit HIV, which is through the use of manicure equipment.

“The transmission of HIV by shared manicure equipment is a very rare event that should serve not to make people fear HIV or contact with HIV-infected people. It should make people aware that sharing any utensils with possible blood-blood contact, such as needles used for drugs, tattoos, or acupuncture can result in transmission of viruses such as hepatitis C (HCV) and HIV,” said Brian Foley, AIDS Research and Human Retroviruses Basic Sciences Editor.