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Is HIV Test Done 12 Weeks Post Exposure Conclusive?

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Posted on Thu, 28 Apr 2016
Question: FOR HIV/AIDS SPECIALIST ONLY!! These are the symptoms i had post sex. Rash, sore throat, Penis chancre, lasted for aproximately 2 Weeks immediately after these subsided i had Flu Like Illness. Stuffy Nose, swollen Lymph all over, night sweats for 2 months, White Tongue with Lessions On Side. White Line on inner Cheek. discloration Of Toenails immediately after these symptons subsides. Gastro Intestinal Problems Confusion And Continued Malaise since First Set Of Symptoms, Stiff Neck, Shortness of Breathe ear Ache blurry symptoms reocurring throat issues. The girl I had Sex With Recently Got Over Flu And She was Complaining About Stiff Neck. And Throat Issues. I had a 6 week 12 week 17 week hiv1/o/2 icma antibody test poat exposure negative. And then a 21 week hiv ag/ab negative. Then i had a 28 week hiv1/o/2 antibody test and finally an 11 month hiv1/o/2 antibody test all negative. Still to this day im suffering from tongue lesion on side of tongue, lymph node swelling behind left ear and under left jaw and blurry vision. The girl i slept with unprotected had told me she had just gotten over the flu when i met her and she continued being somewhat ill during the time we dated IF not hiv what other virus could cause this or should i continue to test for hiv. Are the test reliable? It seems to much of a coincidence that i would get sick approximately 2 weeks after having sex with this girl who i found out later was promiscuous.. All this started on february 14 2014 and my last test was january 14, 2015 hiv icma 1/o/2 which was negative. i still have tongue lesions, swollen lymph nodes behind ear and under jaw both on left side, gastrointestinal problems, loose stool, vision blurry, weight loss in arm and legs, and itching skin until this day i have taken many exams cbc and others which i will enclose here. Can you point me in the right direction as to what is happening if anything is.
doctor
Answered by Dr. Sankaranantham Murugan (1 hour later)
Brief Answer:
You are HIV free beyond any doubt. Symptoms not related to HIV.

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
That girl might be a promiscuous girl or even she could be a HIV positive woman. There are 30-40% of spouses of HIV positive individuals remaining HIV negative in spite of their unprotected regular sex with their HIV positive partner for years together at the point of their identification as HIV positive. They are called as Sero-discordant couple.
Whatever it may be, your HIV test reports especially done 12 weeks after the exposure clearly indicate that you are free fro HIV 1 and 2 infection. CMIA tests are highly reliable. Two consequtive nonreactive tests after 12 weeks assure that you are free from HIV up to 100% beyond any doubt.
All your symptoms are not specific to HIV alone. Anybody can get fever, stuffy nose,malaise,lymph node enlargement and stiff neck at any point of time as well the girl you had encountered. All White line over the cheek and tongue are not necessarily be the signs of HIV. Your physician only can able to tell the same.
So keep all your doubts aside, consult a good physician, get treated and get well soon.
Dr S.Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (11 hours later)
I did an hiv icma 1/o/2 not a cmia hiv test.. Icma was done at the dr and sent off to labcorp.. Have you ever heard of an hiv icma test. Also what to think about my labs i have provided especially the one with high urobilinogen what could all this mean. How could all this happen after sexual encounter and last this long with all Dr's not finding the problem..its been 2 yrs of symptoms and 11 months of hiv testing
doctor
Answered by Dr. Sankaranantham Murugan (3 hours later)
Brief Answer:
Your tests are highly reliable. Symptoms are not related to HIV.

Detailed Answer:
Hi,
Welcome back to HCM.

icma Test is not commonly used to detect HIV in this part of the world.

All the HIV tests available in the market are highly reliable up to the extent of 97-98%. No test is 100% foolproof. As you had a series of nonreactive results, it made the reliability up to 100%. So you need not have any doubt about HIV with you.

About urobilinogen in urine and other symptoms are not due to HIV or the sexual encounter. That is all we can tell from these results. Possibly a coincidence. Liver function tests were normal. Your treatng physician will investigate further and cure you completely.

Best wishes.

Dr S.Murugan
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Sankaranantham Murugan (18 hours later)
Today i went to a general practitioner and 1 look at my throat he said i had a tonsil infection.. This is the second time i have been diagnosed with tonsillitis since the exposure. He gave me a shot and prescribed some antibiotic and a full std panel.. What could this constant flair up of tonsillitis be. I have never had any problems like this before my exposure i was a healthy man who rarely got sick
doctor
Answered by Dr. Sankaranantham Murugan (4 hours later)
Brief Answer:
Not necessarily due to HIV infection.

Detailed Answer:
Hi,
Welcome back.
Tonsilitis is not necessarily related to HIV. Anybody can get at any point of time.
Those who has tonsillitis can have recurrent attacks as they are more prone for throat infection.
If you have phryngitis, rule out STD causes for the same by appropriate investigations.
Dr S.Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (9 minutes later)
So is there a chance that all my hiv test didnt pick up antibodies even after 11 month negative Because i continue to have reoccurring tonsillitis issues with blurry vision, swollen lymph, night sweats, loose stool, and weight loss. I took another hiv exam today i dont know when the results will be in but im hoping next week. What other causes can i look for besides hiv with these symptoms
doctor
Answered by Dr. Sankaranantham Murugan (12 minutes later)
Brief Answer:
NO CHANCE FOR SEROCONVERSION for HIV AFTER 11 MONTHS

Detailed Answer:
hI,
Welcome back.
There is no chance for absence of antibody formation even after 11 months of exposure in spite of tonsillitis.
Tonsillitis could be the reason for lymphnode enlargement.
Your treating physician will be able to find out the causr for other symptoms after an examination and investigations.
Dr S.Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (6 hours later)
Thank you dr. You have been a great help. 1 last question if a female which was just exposed to hiv and go through flu illness have enlarged belly fat for the period she was experiencing symptoms. Then belly go down to normal and belly fat return 2 years later.. Is belly fat a symptom of sexually transmitted infection at all.
doctor
Answered by Dr. Sankaranantham Murugan (17 minutes later)
Brief Answer:
Certain ART drugs can cause fat deposition over abdominal wall

Detailed Answer:
Hi,
Welcome back.
Some Of the HIV positive patients on treatment with certain ART drugs like Stavudin, Zidovudine or PI drugs would like to have a condition called as Lypodystrophy, in which this type of fat deposition over abdominal wall is possible and depletion on withdrawal of these drugs can happen. Late stages of HIV disease one can have abdominal distension.
Dr S Murugan
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Sankaranantham Murugan

HIV AIDS Specialist

Practicing since :1974

Answered : 3110 Questions

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Is HIV Test Done 12 Weeks Post Exposure Conclusive?

Brief Answer: You are HIV free beyond any doubt. Symptoms not related to HIV. Detailed Answer: Hi, Welcome to HCM. Thanks for posting your query. That girl might be a promiscuous girl or even she could be a HIV positive woman. There are 30-40% of spouses of HIV positive individuals remaining HIV negative in spite of their unprotected regular sex with their HIV positive partner for years together at the point of their identification as HIV positive. They are called as Sero-discordant couple. Whatever it may be, your HIV test reports especially done 12 weeks after the exposure clearly indicate that you are free fro HIV 1 and 2 infection. CMIA tests are highly reliable. Two consequtive nonreactive tests after 12 weeks assure that you are free from HIV up to 100% beyond any doubt. All your symptoms are not specific to HIV alone. Anybody can get fever, stuffy nose,malaise,lymph node enlargement and stiff neck at any point of time as well the girl you had encountered. All White line over the cheek and tongue are not necessarily be the signs of HIV. Your physician only can able to tell the same. So keep all your doubts aside, consult a good physician, get treated and get well soon. Dr S.Murugan