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Michael L. Levin, MD; Willis C. Maddrey, MD; Jack R. Wands, MD; Albert I. Mendeloff, MD

JAMA. 1974;228(9):1139-1140.

Abstract
Two dentists sharing office facilities developed hepatitis B antigen (HB Ag)-positive hepatitis. One was severely ill with hepatitis progressing to postnecrotic cirrhosis. During convalescence, he became a carrier of HB Ag. Twelve patients, treated by this dentist on his resumption of practice, developed HB Ag-positive hepatitis over a four-month interval. None of the hepatitis patients had had blood transfusions, contact with other jaundiced persons, or illicit drug use. This outbreak suggests inapparent parenteral modes of hepatitis transmission by dental personnel.

(JAMA 228:1139-1140, 1974)

Author Affiliations
From the Department of Medicine, Sinai Hospital of Baltimore, Inc. (Drs. Levin and Mendeloff) and the Johns Hopkins University School of Medicine, Baltimore (Drs. Levin, Maddrey, Mendeloff, and Wands). Dr. Wands is now at Massachusetts General Hospital, Boston.

Footnotes
Reprint requests to Department of Medicine, Division of Infectious Diseases, Sinai Hospital of Baltimore, Inc., Belvedere Ave at Greenspring, Baltimore, MD 21215 (Dr. Levin).

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