Question: Hello Doctor, I am XXXXXXX I was facing a throat problem and i wanted to brief you the total case.

" I was in Germany begining of Nov 2015 and had 3 sexual encounters in 2 days with Commercial Sex Worker. The sex was unprotected Oral sex full fledged (giving and receiving both) and protected Vaginal intercourse. This was the first time I had such encounter and was really guilty for the incident happened. Actually I was in a drunken and heavily smoking during that time.

After coming back I was really stressed and had oral thrush, and mild sore throat. I took antibiotics for 3 days and was ok. After a week i still have mild irritating throat , mild pain on the lymph nodes.

Finally after 3 weeks of risk exposure i got tested for following:

1. HIV PCR DNA Qualitative : Result NEGATIVE

2. HIV Combo Test (including p24 Antigen) : Result NEGATIVE

3. HIV Antibodies - ELISA (Test strategy -III) - Result NEGATIVE

Also I had also tested for STD (Syphilis, Herpes) which was also Negative.

I also met a doctor and he suggested antibiotics for a week for throat infection. I used the antibiotics but after a week . Also sometimes I still have the mild throat pain ,intermittent pain like squeezing.

Also I had mild pain under the jaws (tonsiltis).

I was really getting worried ,as despite using antibiotics I was still having this irritating throat. Also I developed a rash on the shoulder on 38th day and it has vanished in a day.

I met the doctor again and again he gave antibiotics for a week (Cefpodoxime proxetil) for throat infection. I completed the course of Antibiotics, however I still had very mild throat, sometime on the left side of the throat and right side of throat but rarely on middle of throat and intermittent squeezing pain. however it was only mild and irritating.

So I got tested again as below:

On 41st day HIV Elisa (Test strategy-III) : Negative

On 44th day HIV PCR -RNA- Quantitative- Negative

On 45th day HIV Combo Test (including P24 Antigen) - Negative.

On 53rd day got tested for PCR qualitative test for Gonnoreah and Chlyamdia: Negative

On 56th day HIV Combo Test (including P24 Antigen): Negative

I ve attached all the reports for your reference except the PCR DNA-qualitative report, however it was negative too and was tested at 3 weeks.

Please advise on the following:

Now it is 70 days of exposure again i had mild throat pain, tender and painful lymph nodes and a small rash on my neck area, also had mild muscle pain.

I did gargling for 3 days with salt and used panadol tabs for 2 days. The pain has gone and throat pain is reduced drastically and i stopped gargling as well.

After a day a very mild throat irritating persists. Do I need to start gargling again. Also I was using fucidin for the rash on the neck.

The throat is scratchy and irritating, but no problem while eating and having fluids. Also had icthy ear on both the years.

But I wonder 15 days back I had antibiotics for 2 weeks, i dont know why the throat irritation occurred again.


The doctors said that the HIV Test after 3 weeks and 6 weeks and 8 weeks are negative (both DNA, RNA, Antibodies , P24 Antigen) and are conclusive .

Are these considered conclusive? or do i need t wait for 3 months as per CDC guidelines. I am not having sex with my wife till my doubts are cleared.

Can you please advise on the medication for throat please

Please advise doctor, your earliest reply is highly appreciated.

Thanks.

Hello Doctor,

Thank you for the prompt reply. Do you recommend for throat Swab culture test. What is the test all about?

Does this test detect any HIV/STD?

if this is the case i would like to wait for a month and do the test in XXXXXXX as I am planning to come to XXXXXXX in a months time.

Can you suggest some medication meanwhile, can i use Ajithromycin 500mg for 3 days for irritating throat and do the gargling.

Please advise.

Thanks.