Dear Dr,went to a 60min Thai Massage in Dubai , I was fully naked (masseuse fully clothed) for 45 min but last 15 min masseuse just in panties. I never did any penetrative sex, just rubbing her tits with my oily hands and rubbing nipples with penis and ejaculated between her tits.After 23 days started to have fever and after 4 days small red pimples below my ears on the neck with soar throat and diareha. After 2 days rash dots started to appear on my hands, palms,legs and a macopapular rash on torso and back. No fever, no soar throat, no swollen lymph nodes after 1 week. Started to panic about HIV and had burning feeling in palms and feets at night for couple of days, also extra sensation in hands for touching hot things during the day, lost 4 kgs, white tougue and dry mouth. After 59 days from exposure I took HIV 4th generation and RNA PCR and CBC test in same day in a well known lab in Athens-Greece, both came negative, but CBC showed 13k WBC and high neutrophils whereas I didn't have any fever or sickness. I could only calm for 1 day and panic again why this high WBC and maybe the tests of HIV are wrong whereas the lab confirmed that 99.99% I don't have HIV. After 90 days I started having pruning fingertips in 2 hands as soon as I touch water just after 30 seconds in washing hands ( i usually have sweaty hands since long time but didn't have this pruning issue) forward until now (since 130 days from exposure) I feel  burning tongue from lemon and pepper food and uncomfort in mouth gum). Lately I have been having thighs pain since awake in bed in morning and also during the day I can't stay standing for long time, I feel tired and weak and anxious.

Welcome to our Forum. Thanks for your questions.  I can assure you that the symptoms that you describe are not due to HIV.  Your testing at 59 days was done at a time when all tests for HIV are entirely conclusive and your were tested for HIV 3 different ways (the PCR looks for viral RNA, the 4th generation test tests for both HIV viral protein (the p24 antigen) and for antibodies.  When symptoms are due to HIV, tests for HIV are always positive.   Related to the encounter you describe, there is no reason for concern about HIV and no need for further testing for HIV- it is not possible for you to have HIV and to have these 3 tests all be negative.  ---

Dear Dr., Rash disappeared after 10 days of onset. Unfortunately as you are basing your reply on the HIV tests done, my ID doctor as well but am really anxious about this specific rash and the timing at 23 days from exposure which I don’t think is late as symptoms of HIV unfortunately. Here pls some questions:

Thanks for the additional information.  Straight to your follow-up questions:---

Thank you Dr., I have been living hell since almost 5 months with main concern that nipples might discharge or may have milk on top of penis where glands are there and if possible wounds are there. You confirmed it is no risk which is freaking me out. 

I am not sure why my statement that there is no risk from contact with nipple discharge or any other aspect of the encounter you describe.---