Could be germ phobic.
The most extreme case of germ phobia I recall with no extras. A dancer gets out a wet wipe and cleans the chair I am about to sit on puts a towel down on the floor so her legs don't touch the floor, cleans her hands again with a hand sanitizer, puts on a pair of white long gloves, and places a silk scarf on my lap a before she gives a dance.
With extras the strangest was an older Redheaded MILF, cleaned me up with multiple disinfectant wipes including around my legs, before going to town, yet still asked if I didn't mind her oral without a condom, since she didn't like the taste of condoms. After she was done she heads to the dressing room, pulling a small bottle of mouthwash out of her large purse as she enters. Five minutes later she heads right up to another guy and shortly heads to the VIP again.