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1451936 tn?1294898715

Need your assessment and advise.

My risk : Deep kissing csw in Thailand (Saliva involved). No Sex. Massage scratch and she licked my penile shaft for 2 seconds as i told her to stop all activity.

1 week later (7 days), developed herpes shingles like sores like a 2.5 inch band under my left chest.  confirmed by doc. not to be herpes as it cleared up with use of topical propaderm ointment (cortisteroid 0.025%) within 2 days of use. AT day 16, i developed a lot of itching on my right calf and left thigh, which after being itched turned into a big welt / sore. For this i was once again given a cortisteroid and some allegra 120mg for 1 month 2x per day.

Subsequently at 12 days and 28th day post exposure, i had persistent diarrehea, but this cleared up after taking one anti diarrheal pill after 4-5 continuous watery stools.  my stools have remained soft and ribbony for the entire period until today.

I have been getting hot flashes and also have developed some painless mouth sores.

I have had No fevers, No Sore throat. Some hot flashes when i get very tense.
Also, i had a white tongue which did smell nasty, so i checked and got an oral swab done for oral candida and the results showed clear, and No candida.

The doctor checked my lymph nodes as i have fleeting pains in my groin, armpit, elbows and behind my knees, but he said that the nodes are normal
Tests so far - I took a 4th generation elisa on 26th day post exposure. the results were negative.  
The doctor has called me back for a test at 8 weeks which he said should be pretty much definitive.

Please answer my questions:
1. What do you make of these symptoms?
3. Are symtoms so spread out by few days at a time? By days?
3. What are the risks with deep kissing, saliva exchange. Perhaps she may have bitten or sucked, but there was no blood exchange as there was no taste of blood.  My mouth has cuts as i chew and bite on my cheeks.
4. What if this csw was in her window period, would she not be more infectious - via kissing exposure.

Pls help Sir.
9 Responses
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936016 tn?1332765604
MEDICAL PROFESSIONAL
Hello,

No, I had not read that thread before you pointed it out. I agree entirely with Dr Hook - false positives do occur and I find it an impossibility that kissing has resulted in HIV transfer.

With respect to your question:-

Please answer my questions:
1. What do you make of these symptoms?

All minor and all completely irrelevant in terms of HIV transfer - I do not think they are HIV symptoms and I am entirely unconcerned by them.

3. Are symtoms so spread out by few days at a time? By days?

No - this is all unrelated to HIV. These are not HIV acute symptoms.

3. What are the risks with deep kissing, saliva exchange. Perhaps she may have bitten or sucked, but there was no blood exchange as there was no taste of blood.  My mouth has cuts as i chew and bite on my cheeks.

There is no risk at all, ever, with kissing. Kissing will not transmit HIV.

4. What if this csw was in her window period, would she not be more infectious - via kissing exposure.

Completely irrelevant - kissing is not a risk ever. You will not acquire HIV from kissing. You do not need an HIV test in respect of the incident and you certainly do not need a confirmatory test.

You Sir, are very well and you do not have HIV.

best wishes, Sean

Helpful - 1
1451936 tn?1294898715
tested negative at week 12 via 4th gen. duo test. thanks for your support.
Helpful - 0
Avatar universal
hello doctor, i wanted to know if there is absolutely no risk of hiv transmission through kissing lip to lip?if not why do many sites claim there is a probable risk? and can hiv virus be detected in 78days after exposure by a tridot test?
Helpful - 0
1451936 tn?1294898715
Doctor Sean, tested negative at 42 days or 6 weeks via 4th generation tests (both ab/ag tests). Is this fairly predictive and correct and can i consider this conclusive.
Helpful - 0
1451936 tn?1294898715
Dr. Sean, Sir, kindly answer my above 2 questions. Would sincerely appreciate it and it will surely help alleviate my anxiety as i wait another 2-3 weeks for a 8 week test and to get my results. pls.
Helpful - 0
1451936 tn?1294898715
Dr. Sorry to ask three questions in separate posts. What about licking the penile shaft. if uncircumcised, aren't the langeren cells on the foreskin which is exposed at the tip of the shaft. Couldn't the saliva be absorbed by these? Pls. answer these last questions. Thank You.
Helpful - 0
1451936 tn?1294898715
Also would Antihistamines (120mg x 2 per day) for 4 weeks, and use of topical propaderm 0,0255 affect my test results on the day 25. I took the 4th gen test on day 26 aft. exposure.
Helpful - 0
1451936 tn?1294898715
Thank You doctor.
I also have bleeding mouth uclers that come and go. Would this be related to ARS / Primary Infection? Also are symptoms spread out as in by days or do they all appear as one syndrome?
Helpful - 0
1451936 tn?1294898715
Helpful - 0

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