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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Fungal Infection In Anus And Sore Tonsils Be Symptoms Of HIV? Does It Suggest Weak Immune System?

Hello doctors
I am 23 year old guy and worried about wether I am infected with hiv or not. Below are my details
I had a high risk exposure of unprotected anal intercourse with a random guy on 2nd sept 2013. I didnt had any feeling after that but after around 7 weeks I somehow started panicing about hiv infection and I did HIV 1&2 antibody p24 antigen test after 53 days of my exposure which came negative. I was relaxed but around 10 th week after exposure I started feeling fatigued and around 12th week I had uncomfotrable feeling in throat and anal itching. I went to doctor and she told as I am stressed these things are happening and I had bad tonsil. She gave me azithral for tonsil which was cured but still I can feel heavy throat. I repeated the same HIV elisa test at 12th week(86 days after exposure) which was also negative. Again I went to doctor around 13th week for anal itching about which the doctor told is fungal infection which can be due to sweating and moisture in that area. She also told I have few ulcers on the back of tongue and prescribed me regular gargle and antifungal cream to apply around anal opening and told me to joingym for improving immunity. My questions are
1. Can I consider my 7th week and 12th week 4th gen hiv elisa test conclusive?
2. Or I was tested negative because my body was unable to produce antibodies till 12th week as my symptoms started around 11th week.
3. Are these symptoms hiv related? My doctor told not to worry about hiv and as I was very much stressed I think noticing the symptoms she told me this just to alleviate my stress otherwise why did she told me to join gym to improve immunity?
4. I think I have weak immune system beacause this was told to me during my childhood days as I used to fell sick frequently during that time. Can this be the reason that my body didnt produced antibodies till 12th week??
5. Doctor told that usually ppl get positive result by 12th week if infected but still I am scared seeing my symptoms of throat and fungal anal infection.Should I go for retesting it is going to be 15 weeks now and I am scared of getting this positive seeing my recent symptoms.
Am I hiv infected??
Please reply asap
Wed, 18 Dec 2013
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Internal Medicine Specialist 's  Response
hi there,

I can very well imagine the fear in your mind when it comes to unprotected anal sex and HIV. However,not every unprotected anal sex leads to HIV. For its transmission, the partner needs to be positive and still the rate of transmission is 1%. So this should bring you a sigh if relief.

I would suggest you to have a HIV RT-PCR to be 100% sure. This test detects DNA fragments of the HIV virus in your blood if any. If this is negative, it solves your dilemma and removes the doubt of HIV.

Also the fungal infection is a reflection of poor personal hygiene. Patients with HIV usually get fungal infections after many years of the disease when their CD4 counts drop below 200. This is not the case with you since it is a recent exposure.
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Can Fungal Infection In Anus And Sore Tonsils Be Symptoms Of HIV? Does It Suggest Weak Immune System?

hi there, I can very well imagine the fear in your mind when it comes to unprotected anal sex and HIV. However,not every unprotected anal sex leads to HIV. For its transmission, the partner needs to be positive and still the rate of transmission is 1%. So this should bring you a sigh if relief. I would suggest you to have a HIV RT-PCR to be 100% sure. This test detects DNA fragments of the HIV virus in your blood if any. If this is negative, it solves your dilemma and removes the doubt of HIV. Also the fungal infection is a reflection of poor personal hygiene. Patients with HIV usually get fungal infections after many years of the disease when their CD4 counts drop below 200. This is not the case with you since it is a recent exposure.