[Question #10176] addition to #10151

25 months ago

As stated before had a encounter back June 4th which the condom did bust and id say around 5 mins of exposure June 27th I did a full panel for stds which those results all came back as normal / non reactive.

in July I started getting white areas on my tounge and which also had some tiny red dots went to the DR. he said oral thrush gave 5 days of flucanzole 100mg. was no better the following week seen a FNP. she said the same thing and switched to clotrimazole 10mg troche for 7 days 5 times a day. some times it looks better then it comes back later that day I've also had little redness on roof of my mouth which they say irritation as well as a little sore throat. i had a 100.8 temp one day went back they did swabs ( results are not back for fungal etc ) but covid , mono strep was neg did lab order for HIV RNA , HIV 4th gen , CMV ,CBC,CMP ,CRP EBV. still waiting on most of them to return but today the blood work came back with EOS Absolute result of 0.5 of a range of 0.0-0.4 / x10E3/uL and glucose of 103 result from range of 70-99 / mg/dL. worried this is turning into HIV as thrush meds are not working and the dr doesnt know what is going on he said the fever the other day has him stumped

WBC is 6.8 with range of 3.4-10.8 / x10E3/uL RBC is 5.59 range of 4.14-5.80 / x10E6/uL

Edward W. Hook M.D.

25 months ago

Welcome back to the Forum. I'm sorry you felt the need however. Obviously I have not examined you and cannot comment but after years of teaching other clinicians about STIs, I find that a diagnosis of "thrush" is the go to alternative for persons who see something unfamiliar with oral infections. The tongue can certainly develop grey to white patches from any number of non-fungal causes. It's been just 6 weeks since your exposure of concern and your posts suggest both a substantial amount of anxiety on your part and that you are paying close attention to your mouth and oral cavity than you would normally. 6 weeks would be unusually soon for HPV infection to arise and when HPV infects the oral cavity it infects the cells of the posterior pharynx (the back of the throat) which are different sorts of cells than those of the tongue. Like Dr. Handsfield I remain skeptical that this is HPV, any other STI, and it well may not be a fungal infection. If you remain concerned, my advice would be to see a clinician who regularly examines the oral cavity- either an ENT physician or your dentist.

The possible elevation of your eosinophil count is not clinically significant, neither is your glucose, WBC or RBC.

EWH

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25 months ago

Thanks for the reply dr hook ,

I have a appointment made for a ENT this coming Friday. My previous hiv test was a 4th gen and was taken about 24 days past that encounter would that of been pretty accurate at that time ? My minds been on hiv since this past week due to antifungal not working. For the white on tounge mixed with tired , had fever one day and in the last day had dieareah. The dr retested for it using a rna and another 4th gen waiting results. I also noticed some times my bottle lip has a tingle feeling but maybe due to irritation dr stated seen ulcers on lip cheek , due to the "thrush"

There was about 5 mins u protectected vsginal and about 1 min of cunninglingus.

I'm not sure what's going on but it's scary could there be anytging else to test for ? Fever Friday and diereah is all new I haven't seen my fever over 98.9 atm

25 months ago

If my lip feeling was due to hsv it would of happened already ? Also my test for hsv 1 and 2 igg was megstive for both when I tested 3 weeks post encounter

25 months ago

Upon research it seems only thing std wise could be hav , hiv , syphilis. ?

Edward W. Hook M.D.

25 months ago

I think you are going over the top here. The odds that your partner, no matter how casual or whether or not she was a commercial sex worker, had HIV are low- statistically less than 1%. Further the risk for acquisition of HIV if she had HIV are less than 1 infection per 1000 encounters. Thus there is statistically an 99.999% chance that you were not infected. Further your test 24 days following the exposure would have detected >75% of recent infections and the fact that your test was negative means that, without a doubt, ANY symptom you might have had up to that time, including thrush if that is what you have, could not have been due to HIV since when person's symptoms are due to HIV, tests are always positive. Test now and your results will be 100% conclusive and, I'm confident, will show that you were not infected.

Your post and your mention of "research" suggests that you have been on the internet looking for answers. This is a bad, no, terrible idea! The internet is misleading and full of misinformation. The internet is not editted or monitored and much of what is there is wrong, either because it is out of date, because what is said is taken out of context, of because it reflects unfounded urban myths. Much of what we do on this Forum is work to correct internet-based misinformation.

I fear that the internet, combined with some level of anxiety or guilt is fueling your unwarranted concerns. Please take a deep breath, relax and accept my assessment that the likelihood that you acquired HIV from the encounter you describe is close to zero. EWH

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25 months ago

Dr , some more of my lap results came back to help figure out what was going on strep , mono , covid was negstive the 4th gen hiv was normal still awaiting the rna. So CMV ab igg just came back with a result of 6.00

Is this something to be worried about ? I read it's herpes family , do I need to get tested again for hsv?? I was negstive for hsv igg 4 weeks past exposure.

25 months ago

So as of now the only blood work that has shown anything is the cmv , eos absolute, and glucose.

I've read some back and forth stuff on the cmv. Is it a life changer , or would I need to disclose this with future relationship? Like you said this forum is to help fix the false info from Google so would rather have you explain cmv and its importance in my life from here kn out , as I have a toddler at home I wouldn't want to give to the kid :(

Edward W. Hook M.D.

25 months ago

The thread should have been closed. These will be my final answers after which the thread should be closed. There should be no need for further questions.

Clearly, you are struggling with your concerns over encounters that you now regret. You are also not helping yourself by looking on the Internet for information which will only mislead you.

Nearly everyone, acquires CMV, most typically as children after which the virus resides without causing disease or symptoms, for most of the rest of a persons life in the same way that the chickenpox virus does. Your CMV test results are the same that most people would have, and reflect a past, quiescent infection. CMV blood test only document what we already know, that most people acquired this infection in childhood. The virus is then present lifelong annd only causes illness and severe problems and people with severe immuno suppression. Something you do not have.

My best advice for you is to see counseling on how you can move forward from your miss placed concerns. If you cannot, or will not do that, and you could go see an infectious disease specialist for further reassurance. I’m sorry you’re having to struggle but there is no evidence that you have any sort of STI. EWH. .

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