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Query about sexually transmitted diseases - 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 : 2408 Questions
Doctor :   hI
User :   hi
Doctor :   let me read ur query
Doctor :   How can i help u ?
User :   hello thanks for your time. i currently have very high anxiety over hiv infection. i had a very stupid drunken encounter with a sex worker just over 5 weeks ago. it was protected but i think i may have given her oral sex. i have been tested after 27 days and was neg but have been having pain in groin and armpits.
Doctor :   Do u have any enlarged glands anywhere ?
Doctor :   also was the test done an ELISA for HIV ?
User :   my armpits feel quite swollen and my groin did last week but my doctor seemed to think my groin looked normal even though it was giving me pain. the test was antigen and antibody duo i believe
Doctor :   ok
Doctor :   In any case, to rule out HIV infection , ELISA needs to be repeated at 1 month , 3 months and 6 months if negative
Doctor :   Or to completely, rule it out, a PCR for HIV RNA can be done any time after 10 days after exposure
User :   what do you believe the accuracy level of test after 27 days would in terms of percentage?
Doctor :   the sensitivity of the ELISA after 27 days is 98% '
Doctor :   But, 95 % cases of HIV are seropositive after 1 month
Doctor :   rest cases can be reactive ranging from 3 months to 6 months
User :   ok based on that and the fact that oral transmission is rare do you think anxiety could be casuing me to feel that i have physical symtptoms?
Doctor :   yes , 80 % of your issues are due to anziety related,
Doctor :   But the chances of HIV, after oral sex is 0.05 %
User :   i can say with certainty that i have not has any rash or fever or generalised muscle aches but the presence of these strange sensations where my lymph nodes are located are preventing me from getting over this anxiety. is it possible to get swollen lymph nodes and no other tell tale signs of hiv?
Doctor :   lymph nodes get enlarged in Acute HIV syndrome , WHICH takes upto 3 months to 6 months to appear
User :   oh, so they are not related to initial infection illness? there is a lot of confusing info out there!
Doctor :   right now, to alleviate all anziety and to become care free, u can either retest with ELISA for HIV after 3 -6 months, just to be sure
Doctor :   OR do a PCR -for HIV RNA , which is 100% psotive and will confirm your status
User :   ok I will look to do that as soon as possible but just to clarify what is acute HIV syndrome and is it different to the illness you get a few weeks after exposure?
Doctor :   Its the same , and u can get it anytime within 3weeks or 6 months of exposure to HIV,
User :   i see. but in your opinion would there usually be evidence of all syptoms at pretty much the same time or can they occur gradually one by one?
Doctor :   everything depends on the immune status of the patient
Doctor :   if the status is very low, then all symptoms come at one time
Doctor :   But usually in normal people, it takes a long time say 6 months
User :   based on what i have told you would you say its very unlikely that i am infected? I have a partner and we are trying for children and it is very worrying
Doctor :   the chances of infection are less
Doctor :   BUT to make sure, just get the test PCR for HIV RNA done
User :   ok thanks
Doctor :   this will be 100 % effective
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