[Question #12538] STI or Something else?

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7 months ago
Hello Doctor - I hope that this email finds you well. 
Was hoping that you could provide some clarity. 

Last Friday (3.5 days ago), I had an encounter with a CSW (woman at a massage parlor). She performed during the shower, she performed anal rimming on me for about 1-2 minutes. She also did about 5 seconds of oral to penis before I added a condom. 
Later that day I began to feel a bit "off". The next day on Saturday, I started to feel rundown, with an ache in my armpits and in groin area. I am currently feeling this today. No other symptoms. 

Was our encounter high risk for HIV? Could symptoms start that quickly? Could this be a different STI?

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7 months ago
Could my ache in my arm pits, groin and stiff neck be an initial onset of ARS? 
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Edward W. Hook M.D.
7 months ago
Welcome back to the Forum.  I would typically place my reply within the context of your five prior questions posted in the past 9 months but I cannot do so, apparently because you had these earlier interactions deleted.  As a result, this reply comes to you with "one hand tied behind my back".

There are no STIs which cause symptoms in less than 24 hours.  Even for the STIs (including HIV) with the most rapid onset, it takes at least 3-5 days for symptoms to begin.  Your symptoms are not due to HIV or any other STI.  Aching in the areas you describe could arise from any number of non-STI viral illnesses including influenza and COVID, both of which are currently increasing across the nation.  EWH
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7 months ago
Thank you for the prompt reply, doctor. 
Would constitute my exposure as high risk? Do you recommend testing? Or would you consider the symptoms unrelated and to ignore?
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Edward W. Hook M.D.
7 months ago
As I said above, your symptoms began too soon to be related to the encounter you describe.  Further, the encounter was virtually no risk for HIV.  I suggest you look for other causes.  EWH---
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7 months ago
Thank you, Doctor. 

I am not sure, but isn't there a risk if she had cuts or blood in her mouth? To be clear, I didn't see any of that. 
If these symptoms were ARS, would they be accompanied with a fever? 
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Edward W. Hook M.D.
7 months ago
These will be my final responses to your repetitive, anxiety drive

Typically high fever is part of the ARS.

Even if she had cut her scrapes and her mouth, there would be no risk for HIV

This completes this thread, which will now be closed. Should you return with further questions? The thread may be closed without further responses. EWH.
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