unprotected vaginal Sex HIV

[orangebox]

Dear Doctor

im from Switzerland on the 30 December 2008 i got a Misstake:

I was really drunk a lot of alcohol and meet a girl who use heroine and cocaine in the past know she tells me shes on methadon, we got unprotected vaginal Sex for maybe 3-5 minutes i didnt know it exactly but no longer as 5 minutes, then i freaket out and ask she about HIV she tell me she didnt have hiv but i dont belive this because she tells me she works as a prostitute on the street in the City Zürich ( a lot of the girls are hiv +) there

now this Wednesday after 37 days i make a rapid hiv test (3 generation) it comes negative back it was this test:

http://divinemedicalgroup.com/images/imc.jpg

a week again i make on 25 days after the risk the test it comes negative back.

i never had fever , fatigue,to vomit, diarrhea, but for 2 day 6 small red points on my upper body and now for a week i have this problem;

http://img21.imageshack.us/img21/9567/tonuegeyk8.jpg


i have this for now 1 Week and i read this white points are a signs of hiv acute syndrom i freaket now really out.


Dear Dr,

how are the chances with this symtom that im hiv Negativ???

I cant wait more, 2 weeks for an other test i have so much fear know when i see this 2 points on my tonsils.


regards


orangebox

[H. Hunter Handsfield, M.D.]

Relax.  It is very unlikely you have HIV.  Judging both from the tone of this question and your discussion on the HIV community forum, you are letting your fears run away with you.  Try to think objectively.

First, most people don't lie about HIV status.  Therefore, it is very unlikely your former drug-using partner has HIV.  Second, when a woman has HIV, the average risk of transmission to a male partner through vaginal sex is around 1 for every 2,000 exposures.  So even if she was lying, the odds are strongly in your favor.  Third, even among street-walking CSWs, a "high" rate of HIV typically means a few percent are infected.  Although I am unfamiliar with HIV epidemiology in Zurich, I would be surprised if more than 5% of such persons has HIV.  Fourth, your symptoms really don't sound like those of acute HIV infection, regardless of what you think you have learned by online searching.  You don't mention fever -- and that alone is strong evidence, since fever almost always is present in acute HIV infection.

Finally and most important, with modern HIV tests, well over 90% of newly infected people would have positive antibody tests.  Considering the statistical probabilities at each of those steps, I calculate the chance you caught HIV on December 30 at no more than 1 in a million -- that is, zero for all practical purposes.

On this forum we do not examine photographs of skin lesions.  But white spots on the tongue or tonsils are very common with a large number of illnesses, most of them not at all serious. A simple cold virus can do it.

If you are having symptoms that concern you, see a health care provider about them.  But don't worry about HIV.  Almost certainly it isn't the problem.

Regards----  HHH, MD

[H. Hunter Handsfield, M.D.]

Calm down.  You are overreacting.  I told you that on this forum we do not examine posted photos.  We give general medical perspectives about HIV risk; this is not a diagnostic service.   Your negative HIV test result makes it almost impossible that HIV is the cause, and red spots with "white points: doesn't sound like an HIV rash anyway.  See your health care provider about it.

That's all for this thread.

[orangebox]

Dear Dr Handsfield

now i freaket totally out, i see this on my Body today and the first thing that i did was  vomit my eat in the toilett im so shocked now.

Its now the second time that i have this red rush

http://img502.imageshack.us/img502/3618/p1010892wq9.jpg


The rash and the white points horrible

Its a good idea to make now a PCR Test for the hiv diagnosis?

[H. Hunter Handsfield, M.D.]

I already said your test results are reliable.  They show you don't have HIV.

[orangebox]

Hi Dr Hansfield

ok thanks for your posting i hope your are right^^


and what do you thing about my 36 negativ hiv rapid testing?


Is this a hope?


Now its 0:58 o clock in switzerland i stay at home and drunk my 5 beer, im so angry about me self, it was a stupid session!!