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Increased index value in the antibody test - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: HIV and AIDS
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   I had undergone HIV RNA PCR Quantitative Test Y'day and awaiting result. Also went for Antibody test. Antibody result is Non Reactive, but Index Value showing 0.45 I am worrying about such increased Index level, as at 12 week it was 0.15 only. Now its post 16 week. Pls advise if thats the indication that I am in stage of Seroconvertion.
Doctor :   Hi
User :   hello
Doctor :   Dr. XXXXXXXX here
Doctor :   let me read your query
Doctor :   the increased index value could suggest possible seroconversion. wait for the PCR DNA results which will be the confirmatory tests result
Doctor :   but the overall test has been reported as Non reactive so chances of seroconversion is less
User :   oh !
User :   i m scared now
User :   how to interpret the report of hiv dna ocr test
Doctor :   no, you need not worry. do you have any symptoms at present?
User :   i feel a swollen lymphniode in armpit since last 2 months
User :   and few rashes on neck,,, whcih comes only if summer heat increases
Doctor :   ok. is the lymph node painful?
User :   no
Doctor :   is it freely movable? is it a single lymph node swelling or multiple?
Doctor :   is it bilateral lymph node swelling or only one sided?
User :   i cant find any bump there... but when i see to mirror i feel little convex surface in right armpit
Doctor :   have you got it examined by your doctor since it has been present since 2 months as you reported here?
User :   yes had visted to a dcotor whci is drematologist
User :   he said to forget abt it.. and whne he saw 12 week negative report he told me i dont have HIV
Doctor :   ok. then you need nt worry about it.
User :   for extra sure o got tested on 16 week and i found this increased INDEX
User :   that is worrying me
Doctor :   relax yourself and wait for the PCR DNA report, it should also come back as normal
Doctor :   which is the confirmatory test
Doctor :   may I ask how you got exposed to HIV?
User :   wht no. in PCR DNA will suggest that i dont have HIV Virus
Doctor :   it will come back as reactive or non reactive test, if it is reactive test, it will suggest the subtype of HIV that is found to be reactive.
User :   i c
User :   by the way .. i had unprotected sex with a lady.... later i cane to know... she use to have multiple partener
Doctor :   ok. is the HIV status of the lady established?
User :   no
User :   but i heard that delayed seroconvetion happens in the people who have taken PEP or with having Auti Immune Deases
Doctor :   are you having any other autoimmune disease?
User :   no
Doctor :   have you taken PEP?
User :   no
Doctor :   then you need not worry. wait for your PCR DNA test results
User :   so, was wondering how it could happen to me at 16 week
Doctor :   if it comes back abnormal
User :   ok
Doctor :   you will need to be put on antiviral treatrment
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else i can help you with?
User :   no, ks
Doctor :   thanks for consulting with me. bye for now.
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