why swollen lymph nodes in neck an weight loss?

[jack811]

I have chronic sinus for past several years. The doctor would put me on antibiotics everytime the sinus comes back. Last month 12/18/10 doctor decided to put me on longer dose of antibiotics (AMOX-CLAV 875MG for 21 days and Methylprednisolone 4mg dospak 21's for 7 days). While I was on these prescription on 12/25 I had protected sex with girl I work with. She also perform unprotected oral on me and we deep kiss a lot.(she said she had several partners, but is clean and few years back she had chlamydia). Now I am worried because since last 10 days around my neck  below my chin and back of my neck both side is bothering. The pain comes and goes. I believe they are lymph. I have also lost 5 lbs during this time. I did feel mild back pain just a few times, but not any major bothersome. My head did feel worm but I believe no fever. I can also feel right side the arm muscle pulse every few minutes. I do fell out of breath when doing something. Could it be HIV or is there any side effect to the medication I took? Is it STD? If it was STD would it be cure since at the same time I was taking antibiotics? I never felt pain like this around my neck. since It happen 3 weeks into my contact with the girl, it worries me. I was also taking NASAL spray and doing sinus rinse twice daily. I have ENT appointment next week, But can't wait and can't concentrate on work or at home with my family. Your detail reply to my situation will be appreciated.

[Dr Sean Cummings]

Dear Jack,

I think HIV is an impossibility from the encounter you describe. There is no reason to belive that she was HIV positive in the first place; even if she was you had protected sex; being sucked will NOT expose you to HIV infection.

You clearly have a situation with sinuses and so on and I am very sure that your ENT doctor is looking after you correctly. It seems extremely likely to me that your neck symptoms etc are related to that.

I think HIV is completely impossible in these circumstances.

very best regards, Sean

[Dr Mervyn Tyrer, MB BCh; Dip HIV Medicine, Freedomhealth London]

Morning Jack...as Sean has said, HIV is simply impossible in the circumstances you have outlined....but, HIV is generally not detected by antibody testing at 2 weeks.It may be by using combined methods of antibody and also p24 antigen in a fourth generation HIV DUO test or will be using a PCR RNA test......but not reliably by antibody testing alone.Mervyn

[jack811]

Thanks for your reply. I just had all HIV and STD test come negative at 2weeks. I understand I have no riskof infection. But I was wondering how effective is the test at 2 weeks. Do most people detect HIV by 2 weeks or not?