[Question #11111] Hiv Risk
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16 months ago
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Hi Doctors.
I am a 44m my exposure occurred 9 weeks prior, involved deep kissing with chapped lips. gave unprotected oral to a guy of unkown hiv status for a few minutes, there was presence of precum and stopped after that moment. Also unprotected oral received for about 5 minutes (received oral ) from a person of unknown status. Worst case scenerio if the individual was positive and untreated. What Is the risk?
Did a full sti panel at 31 days and 42 all negative.
Tested 4th gen EIA lab test at 18, 31, 42 days negative. Waiting to do 84/90 day test.
INSTI Antibody test 31, 48, 64 days negative. (When flu symptoms showed)
Is my result going to change?
Now today week 9. I am experiencing chills, low grade fever 37.4 was the highest temperature, sore throat with thick mucus that I can't clear, trying to cough it out, muscle ache. No rash.
Does seroconversion occurs this late?
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Edward W. Hook M.D.
16 months ago
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Welcome to our Forum. Thanks for your questions and your implied confidence in our service. I'll be glad to comment.
The good news is that the exposures you describe were low risk and that your tests prove that you did not acquire HIV or other STIs that you tested for from the exposures you describe. In all likelihood, the persons of unknown status that you contacted did not have HIV- most people do not. Even if they did, FYI, there is no risk of acquiring HIV from kissing (even with chapped lips) and there has never been a case of HIV proven to have been acquired from receipt of oral sex. There are a handful of cases of HIV which appear to have been acquired from performing oral sex on untreated HIV infected persons but they are few and far between- the estimated risk of acquiring HIV from performing oral sex on an HIV infected, untreated person is, on average, less than one infection per 10,000 exposures.
Your tests prove that you were not infected. Your STI tests are conclusive and 4th generation tests for HIV are conclusive any time more than 42 days following an exposure. Be confident that you were not infected.
Your chills, flu-like symptoms and sore throat are not due to HIV. The HIV ARS does not occur after 30 days. Your symptoms are most likely due to influenza, COVID 19 or one of the all too common viral illnesses that most people get from time to time.
I hope this information is helpful and reassuring. EWH
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16 months ago
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Thank you for your response Dr. Hook. That puts me somewhat at ease. I tested negative for Covid19. My temperature reached a high of 38.4 (100.) which I took Advil Tylenol to lower. I'm coughing maybe once every half hour so, clearing mucus from nose/chest. Maybe it is the flu.
Is it possible to be negative because not enough antibodies have been produced at this point?
My Lymphocyte count on a recent blood work march18.24 was 1.0 x 10⁹/L. Would that affect the antibody production?
Or would the AgAb tests determine the results? Does it matter if it was a enzyme immunoassay versus others CILA types of 4th gen test?
Thank you.
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Edward W. Hook M.D.
16 months ago
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This is NOT HIV!!! Cough and respiratory symptoms are NOT part of recently acquired HIV, not to mention your test results as discussed above.
If you had HIV you would have a positive test. By now you would have produced both antibodies and the p24 antigen component of 4th generation tests would be positive. Tests are ALWAYS positive when symptoms are due to HIV. The idea that infected persons do not produce antibodies is an internet propagated myth.
Trying to infer any impact of a total lymphocyte count on the likelihood of having HIV is a formula for going down a paranoia laced rabbit hole. Your lymphocyte count raises no concerns.
Don't get hung up on the test methodology. Enzyme immunoassay vs other methods is irrelevant. All tests have to meet the same performance expectations with the FDA
Please don't worry, believe your test results. If you are having trouble, ask yourself why- typically guilt and or embarrassment is a contributor. EWH
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