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LYMPH NODES that never go from 2 months + high risk
Dear Doctor,
I believe that you are the only one who can help me i sent you before,
I am a male ,29 years old , From Egypt where the population is 90,000,000 , and only 3,000 HIV cases ( in my country even famous doctors don't know a lot about HIV ) ( we don't have any rapid tests at all in all the country and HIV PCRs except in the ministry of health where i can't go )
My risk was : unprotected vaginal sex with sex worker for 1 time at Dubai with ejaculation inside end of November 2013 . I called the girl asked her if she have HIV she answered that she isn't but when I asked her if she tested before , she told me that she never tested before for HIV. (i can't believe that she isn't an HIV case)
Symptoms:
After 4 weeks :i had a Sore throat for 8 days,
after 7 weeks : mild night sweat every night , loss appetite , loss weight till now( 9 kg about 10 % of my all weight). After 10 weeks : a flue for only 3 days with a fever of 38
after 12 weeks : diarrhea for no reasons (9 days and then went for 3 days and came back for 3 days) and 3 small red dots in each hand for 2 weeks.
i went to a bic private lab where they take a blood sample from my arm in the morning and I receive the result report same day at afternoon .
Can you suggest which test is that ??
11 weeks : Hiv antibody ( non reactive 0.12)
82 days : HIV antibody ( non reactive 0.11)
85 days : HIV antibody ( non reactive 0.24)
90 days : HIV antibody ( non reactive )
94 days : HIV antibody ( non reactive )
at 3 months :I decided to go to a doctor (not HIV doctor as in my country it is very difficult to meet HIV doctor ),to check o myself to know what is the cause of my symptoms, he asked me to do some tests :
RPR : Negative
VDRL: Negative
Herpes simplex virus type 1 Igm : Negative
Herpes simplex virus type 1 IgG: POSITIVE
Herpes simplex virus type 1 Igm : Negative
Herpes simplex virus type 1 IgG: Negative
Hepatitis B surface antigen : Negative
Hepatitis C virus antibody (3rd generation) : Negative
Urine analysis : Normal
Stool Examination : Normal
SGPT (ALT) : 16 ( normal range )
SGOT (AST) : 12 ( normal range )
TSH : 1.09 ( normal range )
ESR: first hour 8 , second hour 20
Fasting plasma Glucose : 95 ( normal range )
Glycosylated Haemoglobin ( HbA1c ): 5.4 ( normal range )
LDH : 143 ( normal range )
C-reactive Protein (CRP) titre : 0.6 ( normal range )
I did Lymphocytes ( CD4 and cd8 ) test
Lymphocytes 39.9 %
Comment :( immunophenotyping of peripheral blood cells shows that about 36 % of cells are lymphocytes.
46.9 %of these lymphocytes are CD3 positive T-cells(N:53.1% - 84.3%)
CD4 is expressed on T-cells by 65.7 % (N :27.0 - 53.0%) = 0.49*10/L
CD8 is expressed on T-cells by 26.6% (N: 13.0% - 40.0% )= 0.20*10/L
CD4/CD8 ratio = 2.5 (N: 1.0 - 3.5 )
Te doctor told me that i am fine and my symptoms may be related to ANXIETY or any kind of bacteria, and i turned off this page and removed it from head.
But after another 5 weeks ( after 4 month from my risk ) I started to feel another symptoms and I still have them all till now :
1-Mild Sore throat , never went till now
2-I feel pain in my neck ,
3- Rash in my front head, never went till now
4-swollen lymph nodes around my neck and my mouth
i went to another doctor who ask me for the following tests and CT for neck and chest:
Epstain barr virus antibody toviral capsid antigen ( VCA-IgM ) : negative
ANA by Elisa : Negative
Serum calcium : 9.7 ( normal range )
Serum LDH : L 116
C-reactive Protein ( Quantitative ) : 0.3 ( normal range )
Complete blood Picture : NORMAL BLOOD PICTURES.
ESR: first hour 8 , second hour 18
TSH: 1.20 ( normal range )
Free T3 : 3.1 ( normal range )
Free T4 : 1.4 ( normal range )
Chest CT comment : Normal CT scan of the chest.
Neck CT comment : MULTIPLE BILATERAL MILDY ENLARGED UPPER AND LOWER DEEP CERVICAL LYMPH NODES , THE LARGEST NOT EXCEEDING 1.5 CM IN ITS MAXIMUM DIAMETER. NO MATRIX CALCIFICATIONS OR AREAS OF BREAKING DOWN. ( REACTIVE )
When I went back to the doctor he told me that I am very good but he gave me antibiotic for 5 days I finished the antibiotic from 3 weeks and without any progress
Swollen lymph nodes, Sore throat, the rash in my front head, for almost 2 month and half and ALL OF THEM STILL TILL NOW
2 small ulcers in my tongue + very dry lips from 3 days
At 20 weeks from my risk: Hiv Ag/Ab. by CMIA : Negative
at 22 weeks : HIV antibody ( non reactive ) ( in the first lab)
week 26 : HIV antibody ( Non reactive) ( in the first lab)
I retested for Lymphocytes ( CD4 and cd8 ) test
and the result was :
Lymphocytes 35.5 %
Comment :( immunophenotyping of peripheral blood cells shows that about 36 % of cells are lymphocytes.
52.4 %of these lymphocytes are CD3 positive T-cells(N:53.1% - 84.3%)
CD4 is expressed on T-cells by 63.2 % (N :27.0 - 53.0%) = 0.77*10/L
CD8 is expressed on T-cells by 31.2% (N: 13.0% - 40.0% )= 0.38*10/L
CD4/CD8 ratio = 2 (N: 1.0 - 3.5 )
My question :
1.does my symptoms at 4 months from my risk is related to HIV ?
2.Should i retest again and when ?
3.if they are related when I will test positive after them ?
4.Does my MULTIPLE BILATERAL MILDY ENLARGED UPPER AND LOWER DEEP CERVICAL LYMPH NODES ( reactive ) , the sore throat, and ulcers in my tongue mean that my body is trying to produce antibodies ? as the doctors didn't find a reasons regarding them, and i know that it is related to a viral infection !!
5. Can I be one of those very rare case which take more than 6 months to starting producing antibodies ?
6. can i be one of those who has a rare type of HIV that don't show in the anybodies tests?
7- any one can compare and tell me what my cd4 and cd8 means is it good or bad ??
I have an inside feeling telling me that I am infected and there is something wrong with my lab result, I feel myself not normal. And no one can tell me my symptoms reasons
Please keep in mind that before this situation I never went to a doctor or did any blood test and was rarely get sick.
I tried to explain each details as much as I can, but please have a look for all my case , and try to response to my question in details as much as u can ,and I need to get back to my normal life.
I believe that you are the only one who can help me i sent you before,
I am a male ,29 years old , From Egypt where the population is 90,000,000 , and only 3,000 HIV cases ( in my country even famous doctors don't know a lot about HIV ) ( we don't have any rapid tests at all in all the country and HIV PCRs except in the ministry of health where i can't go )
My risk was : unprotected vaginal sex with sex worker for 1 time at Dubai with ejaculation inside end of November 2013 . I called the girl asked her if she have HIV she answered that she isn't but when I asked her if she tested before , she told me that she never tested before for HIV. (i can't believe that she isn't an HIV case)
Symptoms:
After 4 weeks :i had a Sore throat for 8 days,
after 7 weeks : mild night sweat every night , loss appetite , loss weight till now( 9 kg about 10 % of my all weight). After 10 weeks : a flue for only 3 days with a fever of 38
after 12 weeks : diarrhea for no reasons (9 days and then went for 3 days and came back for 3 days) and 3 small red dots in each hand for 2 weeks.
i went to a bic private lab where they take a blood sample from my arm in the morning and I receive the result report same day at afternoon .
Can you suggest which test is that ??
11 weeks : Hiv antibody ( non reactive 0.12)
82 days : HIV antibody ( non reactive 0.11)
85 days : HIV antibody ( non reactive 0.24)
90 days : HIV antibody ( non reactive )
94 days : HIV antibody ( non reactive )
at 3 months :I decided to go to a doctor (not HIV doctor as in my country it is very difficult to meet HIV doctor ),to check o myself to know what is the cause of my symptoms, he asked me to do some tests :
RPR : Negative
VDRL: Negative
Herpes simplex virus type 1 Igm : Negative
Herpes simplex virus type 1 IgG: POSITIVE
Herpes simplex virus type 1 Igm : Negative
Herpes simplex virus type 1 IgG: Negative
Hepatitis B surface antigen : Negative
Hepatitis C virus antibody (3rd generation) : Negative
Urine analysis : Normal
Stool Examination : Normal
SGPT (ALT) : 16 ( normal range )
SGOT (AST) : 12 ( normal range )
TSH : 1.09 ( normal range )
ESR: first hour 8 , second hour 20
Fasting plasma Glucose : 95 ( normal range )
Glycosylated Haemoglobin ( HbA1c ): 5.4 ( normal range )
LDH : 143 ( normal range )
C-reactive Protein (CRP) titre : 0.6 ( normal range )
I did Lymphocytes ( CD4 and cd8 ) test
Lymphocytes 39.9 %
Comment :( immunophenotyping of peripheral blood cells shows that about 36 % of cells are lymphocytes.
46.9 %of these lymphocytes are CD3 positive T-cells(N:53.1% - 84.3%)
CD4 is expressed on T-cells by 65.7 % (N :27.0 - 53.0%) = 0.49*10/L
CD8 is expressed on T-cells by 26.6% (N: 13.0% - 40.0% )= 0.20*10/L
CD4/CD8 ratio = 2.5 (N: 1.0 - 3.5 )
Te doctor told me that i am fine and my symptoms may be related to ANXIETY or any kind of bacteria, and i turned off this page and removed it from head.
But after another 5 weeks ( after 4 month from my risk ) I started to feel another symptoms and I still have them all till now :
1-Mild Sore throat , never went till now
2-I feel pain in my neck ,
3- Rash in my front head, never went till now
4-swollen lymph nodes around my neck and my mouth
i went to another doctor who ask me for the following tests and CT for neck and chest:
Epstain barr virus antibody toviral capsid antigen ( VCA-IgM ) : negative
ANA by Elisa : Negative
Serum calcium : 9.7 ( normal range )
Serum LDH : L 116
C-reactive Protein ( Quantitative ) : 0.3 ( normal range )
Complete blood Picture : NORMAL BLOOD PICTURES.
ESR: first hour 8 , second hour 18
TSH: 1.20 ( normal range )
Free T3 : 3.1 ( normal range )
Free T4 : 1.4 ( normal range )
Chest CT comment : Normal CT scan of the chest.
Neck CT comment : MULTIPLE BILATERAL MILDY ENLARGED UPPER AND LOWER DEEP CERVICAL LYMPH NODES , THE LARGEST NOT EXCEEDING 1.5 CM IN ITS MAXIMUM DIAMETER. NO MATRIX CALCIFICATIONS OR AREAS OF BREAKING DOWN. ( REACTIVE )
When I went back to the doctor he told me that I am very good but he gave me antibiotic for 5 days I finished the antibiotic from 3 weeks and without any progress
Swollen lymph nodes, Sore throat, the rash in my front head, for almost 2 month and half and ALL OF THEM STILL TILL NOW
2 small ulcers in my tongue + very dry lips from 3 days
At 20 weeks from my risk: Hiv Ag/Ab. by CMIA : Negative
at 22 weeks : HIV antibody ( non reactive ) ( in the first lab)
week 26 : HIV antibody ( Non reactive) ( in the first lab)
I retested for Lymphocytes ( CD4 and cd8 ) test
and the result was :
Lymphocytes 35.5 %
Comment :( immunophenotyping of peripheral blood cells shows that about 36 % of cells are lymphocytes.
52.4 %of these lymphocytes are CD3 positive T-cells(N:53.1% - 84.3%)
CD4 is expressed on T-cells by 63.2 % (N :27.0 - 53.0%) = 0.77*10/L
CD8 is expressed on T-cells by 31.2% (N: 13.0% - 40.0% )= 0.38*10/L
CD4/CD8 ratio = 2 (N: 1.0 - 3.5 )
My question :
1.does my symptoms at 4 months from my risk is related to HIV ?
2.Should i retest again and when ?
3.if they are related when I will test positive after them ?
4.Does my MULTIPLE BILATERAL MILDY ENLARGED UPPER AND LOWER DEEP CERVICAL LYMPH NODES ( reactive ) , the sore throat, and ulcers in my tongue mean that my body is trying to produce antibodies ? as the doctors didn't find a reasons regarding them, and i know that it is related to a viral infection !!
5. Can I be one of those very rare case which take more than 6 months to starting producing antibodies ?
6. can i be one of those who has a rare type of HIV that don't show in the anybodies tests?
7- any one can compare and tell me what my cd4 and cd8 means is it good or bad ??
I have an inside feeling telling me that I am infected and there is something wrong with my lab result, I feel myself not normal. And no one can tell me my symptoms reasons
Please keep in mind that before this situation I never went to a doctor or did any blood test and was rarely get sick.
I tried to explain each details as much as I can, but please have a look for all my case , and try to response to my question in details as much as u can ,and I need to get back to my normal life.
By the way all my concern is hiv not another things i need some help as i feel that i can be are case of hiv i have a lot of questions and i have alot if symptoms related to hiv and even my doctors can t find a reasons for them . I don't wish to any one to be in my situation but u cant feel what i feel
By the way all my concern is hiv not another things i need some help as i feel that i can be are case of hiv i have a lot of questions and i have alot if symptoms related to hiv and even my doctors can t find a reasons for them . I don't wish to any one to be in my situation but u cant feel what i feel
Dear nurse girl, what i know that stress don't effect the lymph note . Please take a look for my neck ct comment and please note that i did another ct from 2 days and it came back with the same comment and sizes ansd still reactive can you please tell me what they mean by reactive.
Dear nurse girl, what i know that stress don't effect the lymph note . Please take a look for my neck ct comment and please note that i did another ct from 2 days and it came back with the same comment and sizes ansd still reactive can you please tell me what they mean by reactive.
You'd be surprised at how many reasons there are for lymph node swelling. Things like allergies, stress, ANYTHING that activates the immune system, not just infections.
One thing is a FACT, you didn't get HIV from your encounter, and you need to stop testing before you end up with a false +, which will put your anxiety over the moon.
You need to let the idea of HIV go....you are conclusively negative.
One thing is a FACT, you didn't get HIV from your encounter, and you need to stop testing before you end up with a false +, which will put your anxiety over the moon.
You need to let the idea of HIV go....you are conclusively negative.
That's what doctors are for, go see a doctor if you are concerned. They have nothing to do with HIV.
Thank you for your reply , but what make me confused is that a have limph nodes in my neck and around my months from more than 2 months amd i went to 3 doctors and no one if them knew the real reasons. And what a know that the lymph node mean that my body is trying to fight an enfection or virus wich make afraid and worry and i did a lot of viruses blood tests and all came back normal as u saw . I have a sore throat and rash in my front hed from 2 months that never went away. All of this make me very confused
COMMUNITY LEADER
You do not have HIV as you were told before as well. Any antibody test done after 12 weeks is conclusive. All other tests you mentioned (PCR, CD4 etc) are not recommended for screening. Therefore you are wasting your time and money on these tests not needed in your case.
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