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On 29th Aug, I Had High Risk Exposure. I Almost

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Posted on Tue, 29 Oct 2019
Question: on 29th Aug, I had high risk exposure. I almost got voilated on a massage table after drunk. Guy tried to give blow job and I asked to stop. he said OK and continued to massage. I was adrift on felt sleepy. Suddenly I realized that he was trying to penetrate and jumped out of the table. he had not pushed his cut penis inside but has rubbed his dick on the entrance of anus as I felt the precum on my fingers. I walked out. after two hours reached home. inspected the area and washed. he has not penetrated because there was no pain but had almost tried as there was sticky fluid. next day, I started feeling feverish. I sent some local guys and investigated. I complained to the management. I threatened to XXXXXXX them. I took this guy to lab and got him checked. shocked to see he was HIV positive and without treatment. After 96 hours, it was confirmed that I had high risk exposure. immediately, I was given Tri-dot and ELISA test. Both returned negative. On day 5, RNA PCR was taken. on day 12 they shared results. it was Target not found. Doctor gave Tenvir EM as PEP after 116 hours after exposure. since then numerous Tri-dot, Elisa were done every week. all of them returned negative. CD4 test was done after 20 days and found it to be 1786, CD3 was 2970. but cd3 cd4 ratio were all within range. after 28 days again tested and found to be negative using both Tri-dot and ELISA. on 30th Sep, PEP course completed. On 4th Oct, ( 100 hours after stopping pep
doctor
Answered by Dr. Sankaranantham Murugan (2 hours later)
Brief Answer:
Repeat the HIV test 6 months after PEP and Confirm

Detailed Answer:
Hi.
Welcome to Ask A Doctor.
. Thanks for posting your query
HIV RNA PCR on day 5 Can not be considered as conclusive.
PEP started after 72 hours was not correct and not useful. This course of ART drugs will be likely to extend the window period.
At the same time, all the contacts were not necessarily Infecious. 30 - 40% of the Spouses of people with HIV potives remain free from HIV Infection for years in spite of their regular contacts and called as discordant couple.
There is every likelihood that you remain free from HIV Infection in spite of contact with precum of a HIV positive individual.
Repeat the test 6 months after the Completion of the PEP, and Confirm that you are free from HIV Infection.
Dr S Murugan
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sankaranantham Murugan (3 days later)
Doctor sorry to bother you with similar questions. just wanted to check if you had ever come across any case who tested negative on day 40 of exposure and tested positive for HIV later? I tested yesterday on day 40 and was negative. just to be sure
doctor
Answered by Dr. Sankaranantham Murugan (2 hours later)
Brief Answer:
Mention the type of test you had

Detailed Answer:
Hi, welcome back.
Please do mention what type of HIV test you had on day 40. Whether it is Antigen detection test or antibody detection test?
Whether it is a Rapid test or 4th generation HIV Combo test?
Dr S Murugan
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Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Sankaranantham Murugan

HIV AIDS Specialist

Practicing since :1974

Answered : 3110 Questions

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On 29th Aug, I Had High Risk Exposure. I Almost

Brief Answer: Repeat the HIV test 6 months after PEP and Confirm Detailed Answer: Hi. Welcome to Ask A Doctor. . Thanks for posting your query HIV RNA PCR on day 5 Can not be considered as conclusive. PEP started after 72 hours was not correct and not useful. This course of ART drugs will be likely to extend the window period. At the same time, all the contacts were not necessarily Infecious. 30 - 40% of the Spouses of people with HIV potives remain free from HIV Infection for years in spite of their regular contacts and called as discordant couple. There is every likelihood that you remain free from HIV Infection in spite of contact with precum of a HIV positive individual. Repeat the test 6 months after the Completion of the PEP, and Confirm that you are free from HIV Infection. Dr S Murugan