We give details of a patient infected with HIV-2 which had what we bel
ieve to be the longest asymptomatic period so far reported. The infect
ion was probably acquired through a blood transfusion in Africa 27 yea
rs ago. At present the patient remains asymytomatic and her cellular d
efence mechanisms, evaluated by CD4+ lymphocyte counts and hypersensit
ivity skin tests, are nor severely compromised. HIV-2 has some distinc
t epidemiological, clinical and biological features which are differen
t from the related HIV-1 and deserve investigation in order for its na
tural history to be better understood.