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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Enlarged Lymph, Itching. History Of Kissing And Fingering A Lady With Skin Peeled Fingers. Blood Work For STD Negative. Possible HIV Infection?

Hi,
I deep kiss a lady four days ago and finger her. The same morning I branched my teach and had some bleeding. my two fingers had no cut just some skin pealed one day before the incident. I was worried the next day and went to ER to get some blood work for hiv and other every thing was negative. three days later I had some lymph enlarger and have some itching I suffer from anxiety. Should I be worried of HIV?
Fri, 6 Sep 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Unprotected sex can lead to transmission of sexually transmitted diseases (STDs) and HIV infection.
Lymph node enlargement is one of the manifestation of STD.
Other symptoms of STDs are ulcers, discharge, rashes, etc.
If any of these symptoms are associated, you need to take care of that.
Get the discharge examined microscopically, and get the ulcer scraping examined.
The lymph node has to be aspirated to look for evidence of inflammatory change.
Itching may due to infection especially fungal infection.
Clinical examination of the affected area is required for diagnosis.
You need to consult a dermatologist/ venerologist for this problem.
If you want to confirm or rule out HIV infection, a repeat HIV test should be repeated after a period of 3 months.
It may be negative in the window period.
In-order to prevent the transmission of STDs and HIV infection, safer sex should be practiced.

Thanks and take care
Dr Shailja P Wahal


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OBGYN Dr. Kulsoom Qureshi's  Response
Hi,
Thanks for your question.
Yes, HIV transmission is possible by engagement in these activities. You should see a physician for necessary work up of your enlarged lymph glands.
Practice safe sex in future to avoid similar anxieties in future.
Take care.
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HIV AIDS Specialist Dr. Sankaranantham Murugan's  Response
Hi,
Welcome to HCM.
The risk of HIV through kissing and fingering is negligible only.
Deep kissing, in the presence of some oral problem like ulcers or gum infection has a little more risk but not that of anal or vaginal penetrative sex.
Likewise fingering in the presence of sore in the fingers may increase the risk slightly. Sometimes the sore may not be obvious, but has some risk.
HIV tests have to be taken after 3-4 weeks of high risk activity in case of Antigen test and after 12 weeks for Antibody test to get a conclusive report. Your risk for HIV is low but it is better to repeat the test after appropriate time and make sure of yourself free from HIV.
Dr S.Murugan
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Dermatologist Dr. Johny Chacko's  Response
Hello,
Welcome to healthcare magic
The chance of you getting HIV from this exposure is almost nil. You need not worry.
Hope this helped
Take care.
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Enlarged Lymph, Itching. History Of Kissing And Fingering A Lady With Skin Peeled Fingers. Blood Work For STD Negative. Possible HIV Infection?

Hello and welcome to HCM, Unprotected sex can lead to transmission of sexually transmitted diseases (STDs) and HIV infection. Lymph node enlargement is one of the manifestation of STD. Other symptoms of STDs are ulcers, discharge, rashes, etc. If any of these symptoms are associated, you need to take care of that. Get the discharge examined microscopically, and get the ulcer scraping examined. The lymph node has to be aspirated to look for evidence of inflammatory change. Itching may due to infection especially fungal infection. Clinical examination of the affected area is required for diagnosis. You need to consult a dermatologist/ venerologist for this problem. If you want to confirm or rule out HIV infection, a repeat HIV test should be repeated after a period of 3 months. It may be negative in the window period. In-order to prevent the transmission of STDs and HIV infection, safer sex should be practiced. Thanks and take care Dr Shailja P Wahal