Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
196 Doctors are Online

Possibility of HIV infections, Cause of symptoms as seen in HIV infection II stage - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2130 Questions
User :   I had oral sex with a woman that 4 days later I found out she was HIV+. 24hrs after the the contact with her I got one ulcer on my lip and 48hrs after another one. I toke acyclovir and it was over. 3 weeks the contact I got a pneumonia and start seeing a white thrush flowing in the back of my throat. I 5 days of diarrhea I lost 10 pounds, lost my vision and start shaking. Fever never went more that 37.2 Celsius. The worst, I can't get to sleep without taking "Seroquel" prescribed. Without it I just see the time going and going and I get 30 minutes of sleep and suddenly wake up again. All doctors are saying I'm crazy that HIV is not so fast like that, but I need to talk with someone that could hear and give other options of diseases I got.
User :   Hi
Doctor :   Hi
Doctor :   Let me read the query.
User :   So, are u HIV specialist?
Doctor :   I am a general practitioner, I believe I can help you within my expertise.
User :   ok, let me give u more details
User :   I had a PCR test within 20 days of exposure
User :   it came out negative
User :   I heard they are reliable after 30 days, not sure
User :   I had an AB test within 40 days, and just yesterday I heard it come out negative
Doctor :   May I know your age?
User :   questions are. If I had an accute infection within 3 weeks how can a PCR for HIV-1 and AB for both HIV beeing negative
User :   41
User :   I had a good health before that, no smooking and no dringking
Doctor :   When did you have the history of exposure?
User :   april 9th
User :   never before that
Doctor :   Ok.
Doctor :   let me explain,
Doctor :   HIV presents in 4 different stages.
Doctor :   Usually the symptoms of HIV during the early stages are fever, generalized body aches, weakness, reduced appetite and so on.
User :   got all that
User :   but not a lot of fever
Doctor :   Full blown AID's which is the last stages of HIV infection presents with secondary infections.
User :   what about pneumonia and lost of sleep
Doctor :   The symptoms that you are referring to are all symptoms of secondary infection's which are seen at a later stage when your body immunity is lost.
Doctor :   1 month is too short period for a secondary infections to occur following a recent infection.
Doctor :   This is possible only if you had been infected earlier, which you are not, since the reports are negative.
User :   so what about the PCR test for HIV-1 and the AB for HIV 1/O/2 ?\
User :   exactly
Doctor :   Your present symptoms may have occurred due other bacterial or viral infections.
User :   let me explain that
User :   one week after the oral sex
User :   I had a year infetion
User :   and I start using amoxil for 5 days
User :   and start zinthromax whole pack
User :   and was prescribed other antibiotics for the pneumonia
User :   so, could all that cause all that with my body?
User :   ansiety an cause that?
Doctor :   These are drugs used for bacterial infection.
User :   since I got herpes 2 for the first time
Doctor :   May I know if pneumonia was proved, either by a chest x ray or a swab test?
User :   yes, chest x ray
Doctor :   Ok.
User :   could herpes 2 cause all that?
Doctor :   Then these symptoms are not due to anxiety.
Doctor :   Herpes can cause pneumonitis/pneumonia
User :   and the thrush?
User :   the diarrhea
Doctor :   Oral thrush refers to a candidial infection.
Doctor :   Let me put it in simple words to you.
User :   It's there since april 28 everyday
Doctor :   You definitely have symptoms of infection, and these are not due to anxiety.
Doctor :   they are infections.
User :   I agree
User :   my family doctor prescribed xanax and seroquel
Doctor :   However, practically it is too early to predict these as secondary to HIV infections.
Doctor :   It does not mean that HIV is completely ruled out.
Doctor :   You still would need these tests at the end of 3rd month to rule them out completely.
User :   40 days for AB even with all symptoms. Is it to early to detecte?
Doctor :   Since, I would not suggest you to wait till the 3rd month.
User :   What should I do? Other PCR test for both HIV 1 and 2?
Doctor :   Window period where seroconversion's occur can last for a minimum period of 3 months.
Doctor :   During this time, HIV test can come up negative.
User :   what about the PCR?
Doctor :   I would suggest you to consult a general physician and if needed take the post exposure prophylaxis.
User :   I made an appt with a infetologyst. Do you think he could help?
Doctor :   In the mean time you can get the HIV antibody (ELISA) test at the end of the 3 rd month.
User :   What is post exposure prophylaxis?
Doctor :   And to ease your mind, I would also provide you this fact,
Doctor :   1. The chances of HIV transmission is low, if only had oral sex and you did not have any visible mouth ulcers during exposure.
User :   I haven't, just had a sore throuth 4 days later
Doctor :   2. Since the PCR has come negative, there are high chances that the tests after the end of the window period may come negative too,
User :   is PCR with 20 days reliable?
Doctor :   and these infections may be an isolated infectious spells probably due to the transmission of infections from your partner.
Doctor :   PCR results are often reliable at the end of 3 to 4 weeks.
User :   What's the worst virus HIV-1 or HIV-2?
User :   I know 2 is not common here in US
Doctor :   Post exposure prohylaxis refers to the use of anti retroviral drugs which are given following high risk exposures such as your to prevent HIV infections.
User :   It should be done early right?
Doctor :   Since these are prescription drugs, I cannot prescribe them online, you may take the help your general physician to get this.
Doctor :   Yes, the earlier it is better.
User :   ok
User :   Well. Thanks doctor
User :   I know I was hiv+ before april 9, but really scared
User :   but I will need to wait
Doctor :   Do you have any other query that I can assist you with?
User :   no thank you
User :   god bless you
Doctor :   Please fill the feed back form too.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
Question is related to
Diseases and Conditions
Lab Tests
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor