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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Lymph Nodes, Joint Pain And Fever?

Hi, i did unprotected sex in bankok on 21 july, 2010, then test at 4 months in bamrungrad hospital (result was negative) then in my country (bangladesh) test again at 5 months (result negative) but after 5 months i feel my two neck side lymph nodes are slightly increased with little pain and also feel pain in my armpit and groin and musels. then again test at 6 months elisa a(result negative) but at six months my wifes test was positive with elisa then go with same blood another hospital for retest but there result was negative. they collect my wifes blood again and 2nd result was negative then doctor said that first positive result was false positive. then i did test again at 7 months (result was negative) , then most of doctor said that i am hiv free. but for 10 days i feel bad pain in my leg musels and all joint and for 2 days i feel mild fever with slight cough. now i again worry. i donot understand anything. my hsv 1 & 2 (igg) positive and cytomegalo virus positive. here my doctor still say that i have no problem with hiv. please help me and i want ur opinion. is my 7 months negative test conclusive? Thank you.
Fri, 9 Oct 2015
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Hematologist 's  Response
Hi, dear
I have gone through your question. I can understand your concern. You have history of unprotected sex.

Your hiv tests at different times are negative. Your tests are negative at 7 months interval. So thete is no need to worry. You are free from hiv. For confirmation you can go with p24 antigen or pcr test. It gives confirm results.

Your symptoms are not due to hiv. If you have enlarged lymphnode with cough and mild fever then you should go for fine needle aspiration cytology of lymphnode. It can be due to reactive hyperplasia or tuberculosis. FNAC will give you exact diagnosis. Then you should take treatment accordingly.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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What Causes Swollen Lymph Nodes, Joint Pain And Fever?

Hi, dear I have gone through your question. I can understand your concern. You have history of unprotected sex. Your hiv tests at different times are negative. Your tests are negative at 7 months interval. So thete is no need to worry. You are free from hiv. For confirmation you can go with p24 antigen or pcr test. It gives confirm results. Your symptoms are not due to hiv. If you have enlarged lymphnode with cough and mild fever then you should go for fine needle aspiration cytology of lymphnode. It can be due to reactive hyperplasia or tuberculosis. FNAC will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.