Is A 5 Months Post Exposure HIV Test Conclusive?

Brief Answer:
Current symptoms not related to last intercourse.

Detailed Answer:
Hi,

I went through your symptoms and investigation report with diligence. Before I answer your questions specifically, my comments are as follows:

1. The intercourse that you described seems very well protected. There is no suspicion about contact with your partner's body fluid. Hence I doubt you will get an infection from that event.
2. Subsequent symptoms that happened is most likely incidental and doesn't seem to be related to that sexual activity.
3. Presence of IgG antibody against CMV and Rubella indicates past infection and that you have good immunity against it now.
4. Various HIV tests at 3rd month and 5th month are more than enough to rule out HIV infections.
5. Anti Dys DNA positive needs further evaluation by Rheumatologist.

With these comments answers to your specific query are:
a) In my opinion you are not infected by HIV. The chances that you will turn up HIV positive in future are exceedingly low. Late seroconversion from HIV negative to HIV positive beyond 3 months is something that is found in literature, but clinically it is such uncommon occurrence all HIV experts consider 3rd month results conclusive.

b) Anti Dys DNA positive is highly specific to SLE (autoimmune condition). However before I arrive at this conclusion, I will recommend you visit a rheumatologist who will re-examine you and repeat this test.

c) If the lymph nodes are persistently swollen, I will suggest that we get one of the node biopsied and studied under microscope. Lymph node biopsy will rule out doubts about cancers.

d) Anxiety and stress have some role. It can explain bowel changes you described. But we should consider it at last when all evaluation is complete.

e) Definitely you need more tests. I will begin with reference to rheumatologist.

f) Prognosis looks healthy at this point of time. But do complete full evaluation. Start with Rheumatologist visit as explained above.

Hope I have answered all your questions to your satisfaction. Let me know if you need clarifications.

Regards

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Brief Answer:
Test reports not alarming, however you need evalua

Detailed Answer:
Hi,

I went through the reports and the only significant finding I could find is positive ebstein barr virus. However what I see is only IgG positive report, it would be better if you can also have IgM test too (Ebstein barr viral capsid antigen IgM).

1. The current report indicate you have chronic infection. IgM test will suggest if this infection is active. Active and acute EBV infection will explain the sorethroat and painful lymph node. That being said, this infection is unlikely to have spread from the described exposure.

2. Your reports clearly indicate HIV negativity. I would not add any more tests to test HIV here, so you need not be worried.

3. EB virus infection can explain anti dys DNA positivity. However a rheumatological consultation is required before we safely rule out lupus.

In short, the summary of these tests are:
a) You don't have HIV infection.
b) Current symptoms may be related to viral infection (EB virus). However you need more tests on this front. EBV capsid antigen IgM is one test that I suggest. You should talk with your primary physician about it.
c) A rheumatology consult may be needed to rule out other causes of anti dys DNA, including lupus.

Hope I am clear. Let me know if you need clarifications.

Regards

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Brief Answer:
Past EBV infection...

Detailed Answer:
Hi,

1. Anti dys DNA can come positive with some viral infection including EBV infection. Most likely the positivity was secondary to past viral infection. As the infection gets controlled, Dys DNA antibodies can become negativity. This explain the change from positive to negative.
2. Other autoimmune tests negativity makes lupus a very, very unlikely condition.
3. As IgM antibody test is negative, this suggest that you no longer have an acute/active infection. This EBV infection was in the past and you have antibodies to it now. It rarely cause complications in future. So don't be worried.
4. If sorethroat and painful lymph nodes are persisting, I encourage you to see a physician and plan its management.

Hope this answers all your doubts. Let me know if you need any more clarifications.

Regards

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Brief Answer:
No more tests from my side.

Detailed Answer:
Hi,

As described earlier,
1. HIV status is clearly been ruled out as the described exposure was completely safe and tests results are in your favour. You don't need further tests to reprove this state.
2. EBV infection is a past and inactive state as proved by postive IgG and negative IgM. We cannot predict the time of previous infection, but may be you are right, 6 month back may have been the time when you received it.
3. No more test from my side. But at this point of time I would suggest you start multivitamin pills such as zincovit once a day for two weeks. If burning mouth and whit tongue coating doesn't improve, you should see a doctor for physical examination.

Hope I have answered all your questions. Let me know if you need clarifications.

Regards

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