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Mononucleosis and HIV - 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 : 2408 Questions
User :   Hello!I am 31 years old and recently got mononucleosis. I got it really bad, which i know is quite normal if u get it at an adult age, and needed to stay at a hospital because of difficulties drinking water and it was harder to breathe than normal because there was not much space left in my throat.I was in a foreign country where mono amonst adults are not very common as i have read. I had a specialist doctor who treated me. I had to stay for a long time, a total of 10 days. It took about 6 days before the steroids(prednisolone) that they gave me made me get better. But when i got better i really got a lot better. Then i stayed a few more days until i had been there a total of 10 days. I was in really bad shape the day i came in and i found it very natural that it would take so long to get the swelling down, and my specialist was not so surprised either.
When i talked to another doctor, not the specialist, before finally checking out of the hospital he told me it was good i finally got better and that some people who take "so long" getting better with steroids maybe should be checked for hiv. i was shocked when he said that so i didnt think about asking him more about it. but after he said it he told me with a smile that "but dont worry, in your case its very unlikely u have hiv". Unfortunately i didnt think to ask him why he thinks for some they should take a test but i didnt have a reason to do so.
I was just wondering is this true? I dont see why it is that unnormal for a 31 year old man to take 6-7 days before getting over such a serious case of mono with steroids... I have no reason to believe i am hiv positive, but i guess i will be taking a test. but i would like to hear a specialists opinion since i didnt get to ask my specialist over there what he thought about it. I have read extremely much about mono now, but excactly this one question was hard for me
User :   to get answered.
p.s. i will test no matter what the answer is, i am more just curious. also they did a test for mono so it was definately epstein barr virus i had. i have also been using protecting during sexual encounters and have no reason to believe i have hiv.
thanks a lot
Doctor :   hello
User :   hello!:)
Doctor :   i am Dr xxx here
User :   nice to meet u
Doctor :   give me a minute let me read your query
User :   my question might be a little bit confusing. but i guess my question is " it is not far out of the ordinary to spend a week getting better from such a serious case of monocluneosis, right?". Seems like many other people also spend that much time gettting better without offcourse having hiv. and the specialist mentioned nothing of this also.
User :   ok i will wait offcourse:)
Doctor :   you had protective sex ?
User :   yes
Doctor :   well there is no way for you to get HIV
User :   ok
Doctor :   EB virus is the most common infection seen in AIDS patients
Doctor :   so thats the reason for the connection they made in your case
User :   do u know how long it is normal for a person with serious complications with mononucleosis to get better from use of steroids?
User :   ah i see! thats interesting. i didnt know that
Doctor :   but its not vice versa... that if you have mono you will have aids
User :   yes i know
Doctor :   the course of treatment varies on the severity of the disease
User :   mine was very very severe...
Doctor :   and how well ones body responds to the steroids
User :   because i got it at a late age. and was on vacation in a very hot environment with little help. (im from a cold country)
Doctor :   there is not a fixed time line
User :   but 6-7 days could be quite normal u think?
Doctor :   yes its normal
User :   within the normal... because i know a guy who also used 7 days to get better. but i dont know if its normal for severe cases
User :   ok i see
User :   that eb is the most common infection in aids patients was very interesting info. i guess that is what many get during acute case when they just got hiv. now i see how that doctor could make the connection to hiv...
Doctor :   you recovered that's the main concern ... in how much time does not matter... how long you fought the infection
Doctor :   yes Eb virus is very notorious to be resent in HIV positive patients
Doctor :   present
User :   ok i see
User :   well i dont think i have anything to worry about will get the test anyway
User :   i was just confused so it was nice to get it cleared up
User :   thank u very much for ur help
Doctor :   you can do it for your satisfaction . and yes you have nothing to worry about
Doctor :   your welcome
User :   impressive how u can help so quiclkly
User :   ok thank u
Doctor :   thank you
User :   have a nice weekend:)
User :   bye
Doctor :   you too take care
Doctor :   bye
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