I will summarize my interpretation of the tests you mention and then address your questions. The bottom line however is that your tests, taken six months following your exposure show that you do not have a swollen parotid gland, nor do you have lymph node swelling in your neck. In addition, your tests show for sure that you do not have HIV and the other tests listed here are normal. Thus, from what I can tell from your questions and the information you provide, HIV is not and should not be a concern for you. As for your specific questions:
1. I cannot figure out why you would ask these questions. HIV tests taken at any time more than 8 weeks are totally reliable. the idea of late seroconversion is an urban myth. The results were returned by the lab once the tests were complete. This too is appropriate.
2. No, believe the test results. You do not have HIV.
3. As for the parotid gland "problem", you need to discuss that with your doctor. I suspect he or she mis-spoke when they raised this issue of HIV with you. Your MRI shows that your parotid gland is normal.
Bottom line- nothing in this post suggests in any way that you need to be concerned about HIV. EWH
This is the complete blood test. as it was given to me word for word.
CBC with Differential/Platelet
wbc 4.3 Range 4.0-10.5
rbc 4.64 Range 4.10-5.6
hemoglovin 14 Range 12.5-17
hematocrit 40.3 Range 36-50
mcv 87 Range 80-98
mch 30.3 Range 27-34
mchc 34.8 Range 32-36
rdw 13.7 Range 11.7-15
platelets 328 Range 140-415
****Please note reference interval change****
Neutrophils 60 Range 40-74
lymphs 28 Range 14-46
monocytes 9 Range 4-13
eos 3 Range 0-7
basos 0 Range 0-3
Neutrophils (Absolute) 2.6 Range 1.8-7.8
Lymphs (Absolute) 1.2 Range 0.7-4.5
monocytes (Absolute) 0.4 Range 0.1-1.0
eos (Absolute) 0.1 Range 0.0-0.4
Baso (Absolute) 0.0 Range 0.0-0.2
RNA Real Time PCR (Graph)
HIV-1 RNA By PCR
Less than 48 copies/ml, Hiv1 RNA not detected
The reportable rangs for this assay is 48 to 10,000,000 copies hiv-1 RNA/ml
Log10 hiv-1 RNA log10copy/ml
unable to calculate result since non-numeric result obtained for component test
Antinuclear antbodies direct Negative
RPR Non Reactive
Sedimentation Rate-westergren 1 mm/hr Range 0-15
HIV 1/O/2 ABS-ICMA
HIV 1/O/2 Abs index Value <1.00 Range <1.00
index value: Specimen reactivity relative to the negative cutoff.
HIV 1/O/2 Abs, Qual
Dear Dr Hook,
The first and second ent that i saw both said that my parotid gland is swollen. The first saw it on a sestimebi scan before i even said anything about the lump. In fact i wasnt even concerned about it until he said it was indicative of hiv. This is why i was scared. I also have low vitamin d and from what i have read lowers your immune system. This is why i was concerned about the late antibodies. As far as the pcr and antibody both being neg at the same time it would be impossible to have hiv at six months past exposure. Correct? I thank you for your quick response and will not ask further questions past this.
1, Neg PCR and EIA at the same time would be impossible if someone had hiv correct?
2, If the gland is swollen which it has to be because i have had a lump there for six months that i have noticed.
3. What do you think about the vitamin d thing?
1. Correct. You do not have HIV.
2. You need to talk withthe ENT who ordered your MRI. The MRI report you provided shows no abnormality in your parotid gland. Thus this conflict needs to be ressolved by the examiner and person who ordered the test. I have not examined you but I cna read the report you provide which found nothing abormal about your parotid gland. I do not doubt that there is a lump there but the MRI suggests it is not abnromal.
3. Low vitamin D is not a major rsik factor for HIV. The most common causes of low vitamin D are not enough dietary intake and not enough sunlight.
Hope this helps. EWH