unknown disease from last 5 months..please help

[worried2343]

Hello experts....I had unprotected sex with street prostitute before 5 months..I got fever and sore throat a week after exposure..after 2 weeks suddenly I got pain started in ny knees soles feet fingets palm....I am not able to sleep from ladt 5 months....M getting burning sensations and pain persistently in my soles..my soles and feet have became reddish and are really paining from last 5 months..pain gets worse at night while I sleep or rest....I have tested for hiv hepatitis c b and syphillis..lastly I took test for hiv and hepatitus c after 5 months..both were negative..I have visited infectious disease doctor..he doesnt have any clue for my pain..I have taken ra test,ana,anticcp,aso titre,thyroid test all were negative... I also took nerve conduction study test before 4 days..it was also normal....m really fed up of my pain and my life has became hell from last 5 months..are there any other diseases which can cause burning sensations extreme pain and redness in my feet soles palms knees?my soles are always red and sore..my esr and crp values were elevated. My esr was 36 and crp was 48....please help

[mkh9]

Syphilis can cause arthritis if not treated. The fact you had a fever to start with sounds like you did have an infection that maybe turned into reactive arthritis or something like that. Also Chlamydia can cause reactive arthritis according to the Mayo clinic as well as these other bacteria and it stated that these can be transmitted sexually and/or in food. The Chlamydia you said you weren't tested for yet. I would get that done as soon as possible and the FTA. They may also want to check your joint fluid to see if they contain bacteria. Also, is your big toe swollen and red? If so this could be gout and reactive arthritis with gout
Chlamydia
    Salmonella
    Shigella
    Yersinia
    Campylobacter

They can also do Xrays of your low back, pelvis and joints to see if you have the reactive arthritis. It does sound like it. If you do have it try to stay away from steroids and take the alternative drugs instead like NSAID's,  embrel or Azulfidine.  

One day at  a time.

mkh9
mkh9

[worried2343]

Thank u for your advice sis....today I will get an appointment with ortho surgeon and see what he tells..I will also check for fta test u mentioned..I have taken uric acid test also which was normal so gout must not be there..I am sure some rheumatic disease is there following my infection..can I be sure about hiv and hepatitis?as these two things can also cause arthritis....is my 5 months 4th generation test for hiv and anti hcv test by elisa enough to exclude both of them?

[worried2343]

Sister along with this symptoms m also having ulcers in mouth frequently and sore throat frequently..from yest I again got ulcers in mouth along with sore throat....is it still possible that i may be having hiv or hepatitis or any sexual viral disease which tests aren't able to pick in 5 months?I have taken pcr dna at 6 weeks and rna pcr by taqman at 3 months..those were also negative..still is it possible to have hiv?I have checked for hepatitis c at 3 and 5 months respectively....and hepatitis b at 3 and 4 months....syphillis at 3 months..can bacterial infection causes elevation in esr and crp values?and do they cause this much of persistent symptoms?kindly bear with me sister..my health is deteriorating day by day....:(

[worried2343]

Sister m waiting for your advice and reply

[mkh9]

Yes you can be sure about HIV. It is good as early as 17 days after exposure. there is no window period like the old tests for immunity just that it takes about 17 days to get enough virus to be able to detect it. You have taken it at 5 months so you would be fine for even the old tests by now.

For Hepatitis the window period is 160 days for Hepatitis B and 48 day or 12 weeks for Hepatitis C. It is best for the Hepatitis to get the HcV antibody test and HCV RNA test and ALT liver test.  Hep B is usually an antibody test.antigen and antibody test and so I don't know what they did on you but the time frame is good.
mkh9

[mkh9]

To answer the second question regarding the mouth sores, since you don't have HIV that is not the cause and Hepatitis doesn't do this. Chlamydia and gonorrhea can cause a sore throat but this is usually in the first couple of weeks after exposure not later like you have. Did you have oral sex?  Also, alot of people get mouth sores. Try gargleing with salt water (warm)  1 tsp in a cup of warm water a few times a day for a week and see if they go away. These can be genetic and also just a regular virus (nothing serious).  Do you have a fever or white spots on the tonsiils or back of the throat?
mkh9