[Question #1373] What do I have?

48 months ago

Im a 51 yr old man. On July 6th had sex with a woman. Kissing, fellatio uncovered, intercourse covered. Nothing happens. On Sept. 26th had sex with same woman. Kissing, fellatio uncovered, intercourse covered. Few days later I got slight fever, slight sore throat. Followed by  itch and tingling in groin. Then a rash on the groin. Rash lasts 3-4 days then goes away around Oct. 11th. On Oct. 21st  I get a small white pimple just inside mouth. Followed by slight fever, slight sore throat, slight lip tingling, slight itch in beard area. Symptoms are short. Pimple gone in 2 days. Then get small red lesion on top of lower lip. This to is gone in about 2 days. On Nov. 9th I get a ELISA test done. Results show reading of 0.91 for both HSV1 and HSV2, a early infection for both. My PCP says that  with all the worrying and emotional stress I was under about my groin it caused a recurrence in my mouth. Yet I don't ever recall having a initial outbreak on my mouth. Help. What do I really have 1 or 2, or both? 

 


















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Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
48 months ago
I think your provider is reading the results incorrectly.  The .91 is a cutoff index value for negative, it is extremely unlikely that it is your actual index value.  Are you able to obtain a copy of your actual results?

Terri
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48 months ago
Thank you Terri for getting back to me. The test I took was thru a independent lab (FPK SERVICES) and not my PCP. I have not shown my PCP the results of the test only passed info along to him by word of mouth.  I took a 10 test panel. In my haste(or should I say paranoia) I did not read the results close enough before passing on info to my PCP.  I thought I was looking at a reading of 0.91 which states,"equivocal may suggest early infection".  When upon looking closer at the results it says both <0.91 for both HSV1 and HSV2 which is a negative result. Results for HIV, Hep A, Hep B, Hep C, chlamydia, gonnorhea, and syphilis also all came back negative. When I took the test it was roughly six and a half weeks(44 days) after the exposure date. Would it be advisable to take the test again in a few weeks?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
48 months ago
A final test should be at 12 weeks.  Right now, the results have about a 70% chance of staying negative.
Glad you went back and read the test results again.

T
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