[Question #13435] Concerned about viral exanthem rash / ARS?
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2 hours ago
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I had a nude massage in Thailand. Masseuse might have made contact her vagina over my penis (sitting on my penis) possible contact vaginal fluids. I fingered her and might have touched my penis afterwards, might touched with my urethra accidentally (worst case). No penetration.
Day 10 - Low-grade fever
Day 11 - Headache. It went away after Advil.
Day 12 - Rash on my face and got one or two small dark red/brownish spots on my palm side of my fingertips later in the day.
Day 13 - Rash spread to my neck, chest, back, arms and thighs. Finger spots disappeared. Looked like Rubella or Zika - small flat bright red spots all over, no bumps.
Day 14 - Rash remained, no other symptoms.
Day 15 - Rash gone.
No itch, except in the shower.
Was diagnosed with "non specific viral exanthem" on day 13 at the hospital.
Symptoms closely resemble Rubella but I got the MMR vaccine. Zika / Rubella are rare in Thailand.
Day 34 - rapid antibody blood test - (not sure if 2nd IgG only or 3rd IgG/IgM). Negative.
Can ARS rash manifest in this way (face first, spreading to rest of the body)?
Would the test have come back positive, even if it was a 2nd gen rapid test, after 24 days from symptom onset / 21 days from rash onset?
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2 hours ago
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I also wanted to add that I understand that this would be classified as a low-risk exposure but I am concerned about the timing and primarily the rash as it closely resembles the ARS rash and it was accompanied by a fever. I've read that rash and mouth ulcers have the highest the predictive value for primary HIV infection.
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24 minutes ago
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I forgot to mention that the rash faded away in the same order it appeared (i.e. Day 14 - Rash was no longer on my face but still on my neck, chest, arms, legs). Wanted to add that in case it can help indicate what may be the cause, assuming it's not ARS (hopefully!!!)