Question: Hello Doctor,

11 months ago I had unprotected oral sex with a women. She gave me an unprotected blowjob and I gave her cunnilingus for around 3 to 5 minutes (around the clitoris, in the outside the vagina).

There were no ulcers or bleeding in my mouth, but I have been diagnosed with Periondontal Disease (moderate, under treatment and without bleeding gums for a long time) and so I’m afraid that the inflammation could facilitate the transmission of HIV.

I’m asking this because ten days later, I’ve started to feel sick, with these symptoms: headache, body weakness, chills, loss of apetite and a running nose ( I had no fever, swollen glands, sore throat or diarrhea). This lasted for 1 or 2 days. In the third day I‘ve felt better, but a maculopapular exantema (a rash) appeared all over my chest, with small non itchy red dots. The rash disappeared almost completely in two days. The only symptoms that persisted was catarrh and difficulty in breading.

I went to to the doctor and she told me that I had a respiratory infection and that probably the rash was caused by an allergic reaction to two medicines that I was taking the week before for another condition (back pain): Metamizol and Arcoxia. She gave me antibiotics and I two days later I was feeling cured. But I can’t stop thinking about the risk of HIV.

The exact chronogram was like this:

(I had back pain since before the exposure)
D Day – Potential exposure
D + 9 – Back pain gets worse. Started to take Metamizol and Arcoxia pills.
D + 11 – Headache, body weakness, chills, loss of apetite and a running nose
D + 13 – Headache, body weakness, chills and loss of apetite went away. But still with running
nose and now some dry cough and difficulty on breathing.
D + 14 – Stopped taking the pills for the back pain and started to feel better on the cold. Rash
appears in the thorax (I’ve never had that before).
D + 17 – Rash almost disappeared
D + 18 – Rash was almost fully gone. Went to the doctor. She told me that I had respiratory
infection, gave me antibiotics and explain to me that the rash was probably a consequence of
the pills.
D + 20 – Feeling OK. No difficulty in breathing and no other symptoms.


Meanwhile, a few days ago I made routine exams and the test on antibodies of Epstein Barr Virus (EBV VCA LgG) came back positive, with a high value: 554 (and the result of the test on EBV VCA Lgm was negative).

Since the episode 11 months ago, I had been slightly sick twice: in March I had an episode of light fever (37,5 degrees) for just a day; and two weeks ago I had fever during one day (37 to 38,5 degrees), associated with food poisoning symptoms (diarrhea and fatigue). I remember these occasions very well because in both situations I was afraid of having Covid-19 and asked for medical advice.

So, I would like to ask you the following questions:

1. HIV could be transmitted by cunnilingus, because of my periodontal disease, even if the inflammation of the gum is controlled and there is no bleeding gums?

2. The symptoms I had almost a year ago could be ARS? Should I get tested for HIV?

3. The EBV antibodies rise could be associated with a HIV infection (because HIV would weak my immune system)?

4. The symptons I had during last year - 11 months ago, in march and in late august - could be simply EBV and/or reactivated EBV?

I'm sorry for the long text. Thank you and kind regards
XXXXXXX