Hi

Thanks for the query and a detailed history.

Transmission of the virus from an HIV positive active partner to an HIV negative receptive partner is less common. This is because HIV is normally present in low levels in the throat which are not sufficient enough to cause infection. Secondly, the lining of the mouth and throat are very resistant to viral infections such as HIV, so infection is unlikely if they are healthy.

But, if there is bleeding wounds or gums in the HIV positive person’s mouth or on their lips, the virus may transfer through the blood into the mucous membranes of the other person’s genitals or into any cuts or sores they may have.

After examining the photos carefully, I am of the opinion that it is more of a chronic tonsillitis. In the old photo, one can see the multiple pus pointed regions over the tonsil which denotes an active infection. But, in the new image, there is absence of any active infection and it is only the residual congestion of the anterior tonsillar pillar and congestion over the posterior pharyngeal wall.

The difficulty in swallowing could be due to the inflammation over the pharyngeal wall. This can be treated with home remedies such as drinking plenty of warm water; avoiding chilled or hot food and beverages and coffee.

It is not uncommon for HIV infection to present with ENT symptoms. The most common presentations are cervical lymphadenopathy, oro-oesophageal candidiasis, and otitis media. Tonsillitis can be noticed when the immune status in the body gets low and is generally noticed during the later stages.

If the symptoms of the sore throat are more than 3-4 episodes per year, it is better to undergo tonsillectomy. Also get HIV 1 and 2 antibody test done, this confirms your HIV status and you can have a piece of mind.

Drinking alcohol in small amounts is not at all a problem; avoid chilled beverages.

Hope I have answered your query; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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