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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Possible Tests For HIV

I had a doubt of hiv infection through needle. I went for HIV early screen test(p24 + hiv antibody) test after 18 days. The result was negative but I doubt the reliablity of the test. Is this test realible enoght. I am having continuous ulcels in my mouth and sore throat from last 20 days. I am very worried. plz sughgest
                                                  
Mon, 6 Oct 2014
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General & Family Physician,  's  Response
Hello
As you mentioned that you are having recurrent mouth ulcers and sore throat . No doubt these two symptoms are among few symptoms of acute syndrome of HIV infection . Others are fever, pharyngitis ( as sore throat , in your case) lymphadenopathy, headache. retro-orbital pain ( behind eyes) , arthralgias/myalgias , lethragy/malaise, anorexia /weight loss, nausea/vomiting/ diarrhea.
Erythematous maculopapular rashes, mucocutaneous ulceration ( as in your case ).
Antibodies to HIV begin to appear within 2 weeks of infection ( as you got a test after 20 days , so this must be specific).
Western blot P 24 rapid nucleic acid amplification ( pcr , rna ) is most specific and sensitive test , accuracy is 99.5%.
Now question about sore throat and ulceration , this may be due to acute pharyngitis .
So in my opinion don't be desperate and get in retest .
Hope this will help you.
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Suggest Possible Tests For HIV

Hello As you mentioned that you are having recurrent mouth ulcers and sore throat . No doubt these two symptoms are among few symptoms of acute syndrome of HIV infection . Others are fever, pharyngitis ( as sore throat , in your case) lymphadenopathy, headache. retro-orbital pain ( behind eyes) , arthralgias/myalgias , lethragy/malaise, anorexia /weight loss, nausea/vomiting/ diarrhea. Erythematous maculopapular rashes, mucocutaneous ulceration ( as in your case ). Antibodies to HIV begin to appear within 2 weeks of infection ( as you got a test after 20 days , so this must be specific). Western blot P 24 rapid nucleic acid amplification ( pcr , rna ) is most specific and sensitive test , accuracy is 99.5%. Now question about sore throat and ulceration , this may be due to acute pharyngitis . So in my opinion don t be desperate and get in retest . Hope this will help you.