Aa
Oral & symptoms at the right time, need your help!
Dear doctors,
My exposure - 11/8/2011: unprotected with trans SW '' first time'' active for 1 min (without ejacu) and passive
for 3 min when he inserted his tongue into the opening of my penis for 2 min, then
active protected anal.immediatly or the day after burning sensation in the penis which last for 2 days
I knew about PEP but stubidly i went to the same SW to ask his status and he told me he is ok (who knows).
3/9 start feeling tired and sleepy without any other sympt.
5/9 CBC shows high WBC near the upper limit 10.9 and high lymph count 3.3 due maybe to chlam or ghon , rapid test for HIV 1/2
and HBAg negative 'too early'.
10/9 drop in lymph count to 2.3 & WBC 8.8 in just five days!! and start of the other symptoms:(joint pain
esp in knees, lymph node swollen behind knees(never heard in ARS) and at the left side of my neck, feeling unwell,
mild thrush in both cheeks not painfull(matched with one photo in web for hiv thrush and never had before),
sleepy,headache, nausea,no rash, no fever,no respiratory complains at all.
till now i'm sleepy, headache seems ok, very light joint (knees) pain, mild thrush, for some day in october between i had red eyes when i wake up so i decided to take zithromax for 3 days in case there is chlam or ghono, and the red eyes turned ok.
10/10 CBC shows WBC 9.8 and lymph 2.4,high c-reactive prot 1.2 & ALT 71 IU/L,ESR 8 mm, HBAg negative.
i had mono 4 years ago so couldn't be mono.
ALL the above indicate HIV, but my questions are:
1-ARS could last such time >45 (maybe coz i'm a fast progressor to AIDS).
2-from your wide experience in the field what could coz such symptoms if not HIV.
Doctors, Please help cause i didn't read anyone with similar story with full coincidence.
My exposure - 11/8/2011: unprotected with trans SW '' first time'' active for 1 min (without ejacu) and passive
for 3 min when he inserted his tongue into the opening of my penis for 2 min, then
active protected anal.immediatly or the day after burning sensation in the penis which last for 2 days
I knew about PEP but stubidly i went to the same SW to ask his status and he told me he is ok (who knows).
3/9 start feeling tired and sleepy without any other sympt.
5/9 CBC shows high WBC near the upper limit 10.9 and high lymph count 3.3 due maybe to chlam or ghon , rapid test for HIV 1/2
and HBAg negative 'too early'.
10/9 drop in lymph count to 2.3 & WBC 8.8 in just five days!! and start of the other symptoms:(joint pain
esp in knees, lymph node swollen behind knees(never heard in ARS) and at the left side of my neck, feeling unwell,
mild thrush in both cheeks not painfull(matched with one photo in web for hiv thrush and never had before),
sleepy,headache, nausea,no rash, no fever,no respiratory complains at all.
till now i'm sleepy, headache seems ok, very light joint (knees) pain, mild thrush, for some day in october between i had red eyes when i wake up so i decided to take zithromax for 3 days in case there is chlam or ghono, and the red eyes turned ok.
10/10 CBC shows WBC 9.8 and lymph 2.4,high c-reactive prot 1.2 & ALT 71 IU/L,ESR 8 mm, HBAg negative.
i had mono 4 years ago so couldn't be mono.
ALL the above indicate HIV, but my questions are:
1-ARS could last such time >45 (maybe coz i'm a fast progressor to AIDS).
2-from your wide experience in the field what could coz such symptoms if not HIV.
Doctors, Please help cause i didn't read anyone with similar story with full coincidence.
MEDICAL PROFESSIONAL
The standard HIV tests such as you had are among the most robusts, reliable diagnostic tests ever developed. Your test results PROVE you did not catch HIV during the exposure you are concerned about and that any symptoms you have are caused by something else.
That's all for this thread. There is no point in further discussion and I will have nothing more to say.
That's all for this thread. There is no point in further discussion and I will have nothing more to say.
Dear Doctor, Sorry for the delay in the replay,
27/10/2011 ( 77 days after my exposure) i got tested negative for Hiv 1/2 in a regional hospital in Lebanon, i prefer to say that it was unknown test coz when i asked about the test generation they told me that the test was ELISA and about the generation it seems they never heard such question (i can understand coz we're third world and we have very low prevalence in HIV), when i insisted to see something about the test the nurse or the lab tech came out with a leaflet which have "Abbott Axsym system HIV Ag/Ab Combo"which is a MEIA and not ELISA (what ignorance!!!).
1/11/2011(81 days after exposure) i decided to get a rapid test coz it requires less experienced staff, negative again but i was unable to see what test they did, when i asked about it the nurse told me she doesn't know if she is authorized to show me the KIT.
8/11/2011( 89 days after exposure) i went to another hospital and i got tested negative with a rapid test ( SD Bioline HIV 1/2 3.0) where i was witnessing the procedure in order to see if they are performing it correctly and it was ok.
Now coming to my question:
1)is it possible that after 64 days of the onset of ARS (if any) a rapid test like the last i did give a false negative?
Giving my story and all the above what should i think, what's your assessment,should i take more tests, your advice is very appreciable coz you're the expert, not like here. thanks a lot
27/10/2011 ( 77 days after my exposure) i got tested negative for Hiv 1/2 in a regional hospital in Lebanon, i prefer to say that it was unknown test coz when i asked about the test generation they told me that the test was ELISA and about the generation it seems they never heard such question (i can understand coz we're third world and we have very low prevalence in HIV), when i insisted to see something about the test the nurse or the lab tech came out with a leaflet which have "Abbott Axsym system HIV Ag/Ab Combo"which is a MEIA and not ELISA (what ignorance!!!).
1/11/2011(81 days after exposure) i decided to get a rapid test coz it requires less experienced staff, negative again but i was unable to see what test they did, when i asked about it the nurse told me she doesn't know if she is authorized to show me the KIT.
8/11/2011( 89 days after exposure) i went to another hospital and i got tested negative with a rapid test ( SD Bioline HIV 1/2 3.0) where i was witnessing the procedure in order to see if they are performing it correctly and it was ok.
Now coming to my question:
1)is it possible that after 64 days of the onset of ARS (if any) a rapid test like the last i did give a false negative?
Giving my story and all the above what should i think, what's your assessment,should i take more tests, your advice is very appreciable coz you're the expert, not like here. thanks a lot
MEDICAL PROFESSIONAL
This information does not change my opinion about your HIV risk and the cause of your symptoms. Self-diagnosed thrush is usually wrong; thrush is not the same as white tongue, which occurs with many, many different medical conditions. HIV never causes a single swollen node; lymph node enlargements in HIV are body-wide. HIV doesn't cause leg pains. The SD Bioline test is just as reliable as ELISA.
You can expect any and all future tests to remain negative. Feel free to report the results here, but please no more comments until then.
You can expect any and all future tests to remain negative. Feel free to report the results here, but please no more comments until then.
-Dear doctor, Hiv test was rapid type (SD bioline hiv 1/2 3.0) and not elisa, and was done 25 days (2 days after the onset of the first symptom ''tiredness'' which from what i read is too early) and not 28 days.
I can swear isn't anxiety coz really i felt horrible for the past weeks, and experiencing some symptoms for the first time and for long time like (legs pain, thrush ,swollen lymph node behind knees....) made me think about them and ask your appreciable advice.
However, i hope i m safe, and i will post again when i'll have lab test including HIV test, thank's again for ur support.
I can swear isn't anxiety coz really i felt horrible for the past weeks, and experiencing some symptoms for the first time and for long time like (legs pain, thrush ,swollen lymph node behind knees....) made me think about them and ask your appreciable advice.
However, i hope i m safe, and i will post again when i'll have lab test including HIV test, thank's again for ur support.
MEDICAL PROFESSIONAL
Understood; I saw this before I responded above.
MEDICAL PROFESSIONAL
Welcome to the forum. However, you had an accurate reply from Dr. Garcia-Gonzalez on the HIV international forum. There isn't much to add.
You had a virtually zero risk exposure with respect to HIV. It wasn't "stupid" to not seek PEP, which is not recommended after an oral sex exposure. Anyway, it is unlikely your partner had HIV, since people usually do not lie about it when asked directly. Your symptoms do not suggest HIV, and everybody's WBC count varies widely; changing values of the kind you describe, both in WBC and lymphocyte count, are entirely normal. In other words, you are just plain wrong to believe that "ALL the above [symptoms and lab results] indicate HIV"; almost certainly you are not infected. Although your HIV test result Sept. 5 (28 days after exposure) is a bit early to be definitive, it is highly reassuring; over 90% of newly infected people have positive results by that time.
1) ARS symptoms rarely if ever last 45 days.
2) Any number of medical conditions, such as mild viral infections, could cause symptoms like yours. In my experience, most persons with such symptoms are experiencing the physical manifestations of anxiety, stress, or other mental health issues.
My advice is that you have another HIV antibody test at this time. You can expect it to remain negative. At that time, if your symptoms continue, visit a health professional for further evaluation.
I will be happy to comment further when you return with a follow-up comment to report your next HIV test result -- but won't have anything more to say until then.
Regards-- HHH, MD
You had a virtually zero risk exposure with respect to HIV. It wasn't "stupid" to not seek PEP, which is not recommended after an oral sex exposure. Anyway, it is unlikely your partner had HIV, since people usually do not lie about it when asked directly. Your symptoms do not suggest HIV, and everybody's WBC count varies widely; changing values of the kind you describe, both in WBC and lymphocyte count, are entirely normal. In other words, you are just plain wrong to believe that "ALL the above [symptoms and lab results] indicate HIV"; almost certainly you are not infected. Although your HIV test result Sept. 5 (28 days after exposure) is a bit early to be definitive, it is highly reassuring; over 90% of newly infected people have positive results by that time.
1) ARS symptoms rarely if ever last 45 days.
2) Any number of medical conditions, such as mild viral infections, could cause symptoms like yours. In my experience, most persons with such symptoms are experiencing the physical manifestations of anxiety, stress, or other mental health issues.
My advice is that you have another HIV antibody test at this time. You can expect it to remain negative. At that time, if your symptoms continue, visit a health professional for further evaluation.
I will be happy to comment further when you return with a follow-up comment to report your next HIV test result -- but won't have anything more to say until then.
Regards-- HHH, MD
sorry Doctor, Unprotected oral.
You are reading content posted in the HIV - Prevention Forum
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.
