Hello Dr. Handsfield. I could not log back to reply to you previously even after resetting account with ASHA support. So I had to create a new account. I wanted to ask for your help in quarterbacking my next steps in light of the updates below from the last discussion on #13360. I've had multiple tests and yet still have symptoms that persist. Is it possible to have DGI or Neuro syphilis present with these symptoms? Had single nodule on lower lip about 8 weeks post exposure. Since then, Constant fatigue. Parathesia all over face, arms, lips, especially near eyes. Swollen eyelids, dark bruising under eyes/bags, raised bumps on lower eyelids. Burning skin on face, red face, hands, and arms. Sore lymph node left armpit. Pressure/headache on back of head with stiff neck. Numbness on left arm with numb fingers and feets. Sharp pain and bump under skin on both calves that shoots when touched. Ulcers on tongue and inside cheeks that come and go. Soreness near left of belly button (spleen) and sometimes right of belly button (liver side). Nausea, dizziness, and eye pressure. I'm lost as to what could cause these symptoms at 4 months post exposure. Below is recap of my tests and timelines. Exposure date was 7/7/25. Unprotected fellatio received and cunninglus given. Condom sex. Dates of tests are: 10/17/25, 9/22/25, 9/5/25, 8/6/25. Tests taken each time are Hiv abag, rpr+tpla, hsv1&2 igg, hep abc, all negative. Urine gonorrhea chlymdia negative but not tested for oral swab. Only positive results are hsv igm on each test, cmv igg but not igm positive, and ebv ebna igg 600.0, ebv vca igg 428.0, and ebv ea-dr igg 9.7 ( equivocal 10. to 39.9) Could it be ebv causing these symptoms? 

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