am a male who had a sexual encounter with an upscale escort in India on Dec 20 and 21st with same person. No intercourse was involved. I went down on her clit for may be 10 to 30 secs. I fingered her for about a min max. I realized I had a wart(recently came to know it may be a wart as suspected by doc. Even doc was not sure)on my finger. The skin on that so called wart did not seem damaged nor it was hurting nor it was even filled with any fluid inside. One week later I started to feel little weakness(not a lot) for 4 to 5 days and 2 days later I felt some discomfort in throat. I went to doc on 3rd Jan to address the weakness and after examining she found out that one of my tonsil was infected and some white puss coming out of it. She suspected it to be Mono and ordered CBC and mono test. On Jan 5th Mono came back negative but CBC showed high reactive lymphocytes at ~1700 and absolute lymphocytes at 555. Monocytes were up as well. My Platelet count dropped to 171k from 281k which is my usual avg. 

On Jan 5 she wanted me to get tested for HIV(4th generation ag/ab) along with CMV and repeated my CBC and metabolic panel. Both HIV and CMV came back negative but my wbc went up from 5.6 to 9 with my lymphocytes were at ~4k and high monocytes at ~2500. My AST and ALT were up to 93 and 143. Platelets were down to 127k. In the subsequent CBC test a week later my reactive lymphocytes reached to 42% and my platelets were being reported as clumping. AST and ALT were still high.

On Jan 17th doctor ran my CBC again as my tonsil recovered which showed wbc returned to normal and no reactive lymphocytes were reported and my absolute lymphocytes count returned to 2500 normal levels. My platelets were still showing as clumping.

 On Jan 19th which is 29 days after the risk I repeated 4th Gen hiv ab/ag lab test at quest which came be negative.

Week after the Jan 19th I had congestion productive cough for a week but no sore throat ever nor fever in this whole episode.

My questions are do you see this as high risk? Do you think I need additional testing? If it were you do you move on or still suspect about hiv?

Thanks for the response Doc.  Now my Main concern is the symptoms that I had in the 5th week after my negative test. I had nasal congestion and Productive cough which lasted for around 10 days. Nosore throat(No pain while swallowing or eating food) or fever or any weakness. Could they be related to ARS?

I might sound crazy when I say this but I wanted to be very honest with you to get the right suggestion. My mind is even going to an extent to think the needle used for my last test at Quest Diagnostics could have got me infected if not by encounter that I had. That's the reason I am seeing symptoms just 1 week after the test which I described above.

Just wanted to hear that it is rubbish from people like you with a reason so that I can convince myself and move on. 

Sorry had to split my response due to character limits