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More than a decade ago, a young Brazilian girl did what many girls do: She got a manicure. Now 22, the unidentified woman recently found out she’s HIV-positive when she went to donate blood—and a study of her situation points to the manicure instruments she used 11 years ago. The woman used her older cousin’s manicure gear when she was a child, the cousin was later found out to be HIV-positive. After the 22-year-old’s recent blood donation turned up an HIV diagnosis, doctors realized they had to go further back in her history than they anticipated: Her bloodwork revealed a “high viral load,” which means the infection had been there for a long time.

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