Question: Sir, Last month(29 Sept 2013) i had sex with a call girl whose hiv status i am not aware of. I inserted my finger on her vagina for almost 2-3 minutes,but i am not sure whether i had a cut or not in my finger.Visibly it was not there as per my notice.but might have an opening in between the nail which was not bleeding.I have kissed her vagina with my lips which had a crack and not bleeding.I did not use my tongue at all.I I used condoms during vaginal intercourse.After this encounter i was so scared and stressed for 2-3 days.On the fourth day(3rd oct 2013) i got symptoms of fever (especially at night) with joint weakness,fatigue and shivering.I already had mouth ulcers because i was using some fibrous dental wear for past few days.I went to Dr and he asked me to get admitted.He ran all the tests for malaria and widal test which all came negative.But my total bilirubin level was 1.48mg/dl and indirect bilirubin was 1.40mg/dl.All other blood counts were normal.The wbc count was9270/ul and neutrophils were 71%, lymph 23% ,mono-5%,Eosno-1% during the first day of hospitalisation.The x ray of chest and sonography reports were normal.Exceptthe radiologist suggested in report as "hypoechoic echostructure of liver suggested clinico pathological correlation" . i was hospitalised for 6 days and i was severely stressed and could not sleep properly.The nurse took the temperature which was normal but i felt excessive heat whenever i sleep.I got burning sensation in penis,the urine report showed 1-2/hpf pus cells and epithelial cells were occasional and he prescribed cital syrup.I felt the entire episode of fever like acute hiv symptoms.i got discharged on 11th oct 2013 but sometimes i felt feverish and nausea.i took rest for one week but i was under severe stress and whenever i take food i felt problem in swallowing and the mouth ulcers still remained.Now from 23rd oct i felt like a red sore/wound(2 red pimple like very small) like on the XXXXXXX of my penis near the urinal opening.It is making me uncomfortable.Now i have mild flow of mucous from nose to throat and always felt like coughing but no coughing were experienced except some mucous flow in throat.i am severely stressed now and i have made in my mind that i am infected with hiv .i could not sleep or concentrate At 31 st day of possible exposure at XXXXXXX hospital, Chennai i have done 1)Anti HIV 1&2[Ag/Ab] third generation -Non reactive 2)p24 Antigen by CMIA - non reactive 3)VDRL which is also nonreactive 4)HBSAG by CMIA ,Anti HCV by CMIA,Anti HAV IGM which were all nonreactive At 41st day i have done HIV rapid test which gave result in half an hour which is non reactive But i experienced all the symptoms like recurring penis pimples, Postrate infection with groin pain,Armpit pain(not continuous but sometimes) ,mucus flow thru throat etc, but no temperature At 62nd day i have done an Elisa at Chennai lab which also came negative At 62nd day the WBC count seems to be 6300cells compared to 9270cells in the previous month now also i feel slight throat infection, penis pimples,groin pain(not continuos but recurrent),sometimes i feel very tired etc Is it a clear case of HIV? How reliable is 62nd day ELISA test ? Thank you

Sir, But i Anti HAV report is negative for hepatitis as mentioned in the earlier question 1)Then it could not be Hepatitis right? 2)Will the mentioned medication like tab oflox,Montec LC,moxikind CV 625 and SN 15 affect the seroconversion /window period for detection of HIV? 3)i have seen in some article that some chemotheraputic drugs and hepatitis infection delay window period (till six months) and tab oflox is stated as chemotheraputic drug in its details.Will these antibiotic affect the seroconversion/Window period? 4)What could be the possible reason for WBC count decrease from 9270 cells to 6300cell within past one month? 5)will the swollen lymph nodes near the neck,armpit and pain in the groin an indication to worry? please help to clarify these thank you XXXX

Sir, 1) Will hepatitis infection delay the window period? 2) i experience swollen lymph node at neck and someother regions, my groin and lower abdomen are paining.Will there be any any other STI infections ? 3)What all tests do u suggest to check the other STI infections? Thank you

Sir, I am getting lower back pain,fatigue My lymph node on the right groin,lower back,armpit and left neck are swelling Always have nausea sometimes my penis tip is itching and penis pimples are recurring i have groin pain also During sleep i feel very chill and increased heartbeat i am really worried thank you

Sir, Whom should i go for, A general physician or a urologist? Currently under medication (4th week)for prostrate infection with oflox tab and Alfoo tab Still my groin pains,armpit pains thank you XXXX