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What Does Swollen Lymph Nodes Along With Negative Western Blot HIV Test Indicate?

Posted on Sat, 8 Nov 2014

Question: Hi iam in fear of hiv2 now i had all test done for hiv1 but got possitive test for tb i have lympnodes since 9years 2 months ago i had cd4/cd8 was 889/ 836 ratio for 1.03
Recently i had cd45cd3cd4/cd8 enemeration ratio counts cd 4 413 /cd8 436 ratio .95
I had all symptoms of hiv in past lympnodes are still there
I had read articiles for seronegative hiv2 carriers in XXXXXXX in 2000 .
My serological are negative including the westorn blot 1/2 all band negative

Answered by Dr. T Chandrakant (44 minutes later)

Brief Answer:
Is FNAC / Biopsy / tests positive for TB

Detailed Answer:
Hi.

It is very good that you are aware of HIV, its risk and consequences.
Internet has really made the life miserable in some regards as people read many articles and since a non-medical person can not really fully understand the in-depth knowledge he can be trapped into a vicious cycle of encounter- a small mistake - caution - over-caution - guilt and an anxiety related to the guilt and so-called wrong-doing.

I hope, you are getting my point.

Few more thing for you understand :
You had interaction more than 9 years ago- do you really think from the bottom of your heart that you can have HIV or AIDS after such a long gap?

All the tests including CD counts are normal- Do you really want to find out anyway that you are suffering from something?

What are the other symptoms you had / have other than Lymph nodes ?
And What are the tests that are positive to tell you that the lymph nodes are due to Tuberculosis? Have you got your FNAC or Biopsy of the lymph node/s ?

I think now you want to get married and that is why the so much worry about ...

Please give feedback-
Feel free to express more.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. T Chandrakant (25 minutes later)

I have confuse i met a dr in XXXXXXX he said he hiv specialist , i had pain progrss of lymp nodes in head region mainly i remember , one below ear and two in cheeks and few in armpits i can can feel them ,
Now i have one question i have always had these symptoms from these many years ,
I was on that time too , but thank to god my serological and dna rna all are negative ,
2 months i had cd4/cd8 test
But this dr did viral load test for hiv1 plus another test name cd45/cd3/cd4/cd8
I am having dry mouth mostly
For this iam worried for any unusual kind of hiv2 i had very short exposure it was vaginal hetrosexual after 6 months of that i dvlop these symptoms , lympnodes were extremly painfull but still not over 1 cms
I had girl freinds in past after that exposure we also tested them in recent they 3 were all negative ,
But after i had meet this dr PROF XXXXXXX
HE SAID U HAVE SOME HIV , he ran those viral load test last cd45-cd8 counts which are changes from the one i had my self some 2 months ago
But that dat dr had ask me u cannot transmit the virus but i belive u need to test hiv2 too , iam asking di i need to run and go for that test too

Answered by Dr. T Chandrakant (3 hours later)

Brief Answer:
Take a second opinion at NACO

Detailed Answer:
Thanks for your feedback.
CD 4 / CD 8 ratio is normal, almost all the reports are normal except the CD 8 + T suppressor percentage of CD 3 which is just above the normal range not below.

Is the Doctor you met a self declared HIV Specialist? What are his Degrees?
You can always take a second opinion of a Doctor at the Govt AIDS center / NACO . Counselling with the Counsellor or Doctor In-charge at such places are more reliable, they will not confuse you and in fact help you make the things more clearer.

There is nothing like 'some' HIV- it is there or not there.
I would request you to take a second opinion for the sake of face-to-face interaction.

Get any of the most prominent lymph node tests by FNAC or Biopsy to confirm what it is to go for further treatment if required. You have to get a definitive diagnosis.

I was just wondering why would you be so much bothered about if all your tests are normal.
All such counts are done in people who are HIV Positive. Well go ahead till you are satisfied. Get a second opinion.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. T Chandrakant (10 minutes later)

According to you sir i should not worried about hiv any more aur do he hasnt declared me as hiv possitive as my elisa are still negative , he said he having doubt u may seronegative carriers of hiv . In last 9-10 years i never had single elisa aur westorn blot band positive

Answered by Dr. T Chandrakant (51 minutes later)

Brief Answer:
Why are you so much worried about ?

Detailed Answer:
I mean to say - as per the reports you are unnecessarily bothered about something which is not positive- It is already more than 9 years and by this time all reports are negative.
I was just asking about the specialty of the Doctor who says to be AIDS specialist.
I hope you are physically fit for your age. Get excision biopsy of any of the lymph nodes, if not positive for any specific disease, you too be positive ( by thought) and enjoy life. Get married if you are unmarried yet.
There are better ideas / situations and events in life to bother about.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. T Chandrakant (35 minutes later)

Well thanks for info regards
XXXXXXX

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
Thanks

Detailed Answer:
Hi XXXXXX XXXXXXX
Thanks for your appreciation.
You may please rate this answer before closing the query.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. T Chandrakant (24 minutes later)

Sir i have today evening send sample for the first time in 9 years for hiv 2 rna detection test , actually last week that dr made me mad , we took 9000 striaght away fr pcr and viral load test plus his fees
I think he kne the fact that i am not infected , but use my fear for making making extra money ,
He indeed said iam pretty sure u ill have some copies of virus in test hiv 1 viral load , which came undetected ,
Now he said could be hiv2 ,
Just of cimplete mind i requested this test and praying evry second to remain negative for rest of my life ,
I dew for marriage in next few months and dont want to spoils any other life , if any things goes wrong then i ill quite marriage
I was reading articles on net in hiv2 cd8 responce is low, in these cases there is no antibody response
But i have cd8 also high ,
So medically also this test negative this is ill last nail in couffin ,

Answered by Dr. T Chandrakant (19 minutes later)

Brief Answer:
Great consideration- relax.

Detailed Answer:
Hi.
Relax.
This will be negative.
You can certainly go ahead with a great marriage and prosperous life.
So nice to know you worry so much about other's life; you will be a great husband and the spouse the most lucky.

Do not worry.
And stop reading any articles on this topic again.

All the best!!!

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. T Chandrakant (8 hours later)

Thanks dr iam just all goes well
Regards
XXXXXXXX

Answered by Dr. T Chandrakant (43 minutes later)

Brief Answer:
have a great day

Detailed Answer:
Welcome.
Have a great day.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. T Chandrakant (8 hours later)

Hello, dr happy diwali
I got result for hiv 2 rt pcr undetected for gag gene
Thanks
Regards
XXXXXXX

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
Have great ''Enlightenment''

Detailed Answer:
Sincere Thanks for your nice greeting, I do reciprocate the same for you and your family.

This is really a gift of the Almighty for you too that everything is normal.
Now I would request you to keep the HIV factor out of your life / mind and soul.

Have a great life and feel free to ask for any further assistance you may think I can offer you. You may please rate this answer as 5 ***** if you like it.

I too wish you a very beautiful and prosperous life on such an occasion. Happy Deepawali- This is all about '' enlightenment '' and nothing religious about it.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. T Chandrakant (1 hour later)

Ya many thanks fr supprt n. Mental other wise i would had declared my self more being hiv 2 victim
Your point clicked my mind yesturday
When would adviced my ask urself after 9 years of that really possible i am carring that virus into mee . I against the odds all antibodies negative , iam realy infected ,
But seriously m very upset by that dr ? Who i met in his clinic at XXXXXXX ,
When i met him i should all medical investigations ,
He said u surely have some thing ? Hiv
He took sample staight away dere only fr hiv 1 viral load that cd45-cd8
After he ask me come again give sample fr hiv 2 pcr
Just fr a commission of 2-3 k he made sleepless , depressed , for allmost 2 weeks now madly i have spend some 25 k plus my inside anxety ,
Iam sorry these kind greedy dr should nt be playing with the emotions of patients

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Brightest !

Detailed Answer:
I do agree with your. Anyone / any human being for that matter should not play with the fears of others.

Well, I am happy that you are out of the tensions, anxiety and worry.

Think of the present- looks great !
Think of the future, it will be the brightest !!

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. T Chandrakant (26 minutes later)

Seriously frankly dr sir u gave pure relief even test report arrive , iam seriously happy that Dr like u who motivate things like this my greeting to u diwali as well to ur family too
And just tell how to grade your support i love point u 5 out 5 u r great sir
Regards
XXXXXXXX

Answered by Dr. T Chandrakant (22 minutes later)

Brief Answer:
Thanks

Detailed Answer:
Thanks again for your sincere Greetings.
A happy patient is more than Deepawali to me.

There has to be a column to grade / rate this particular answer and you may please also put your comment too.

Thanks you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. T Chandrakant (21 minutes later)

Iam surely satisfy by support and finally out that trouble so thanks i comment ur 100% positive
Iam myself very to knw dr are like u not like the one i met

Answered by Dr. T Chandrakant (12 hours later)

Brief Answer:
Blessed

Detailed Answer:
Blessed by the Almighty !
Have a great day and future life.

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Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju