[Question #227] Please help

110 months ago

Hi Drs:

Please excuse my bad English

I'm 30 yours old married male from Jordan witch the population aroun 9 millions with only 200 hiv infected.

I had 5 risky incounters in one month last one before 14 weeks, all of them with traveller escort girls, all encounters protected vaginal non protected oral. Also I had one non protected encounter in Germany with street hooker before one years.

After one week of my last encounter I had and still have the following symptoms:

Fever up to 37.2

Dry mouth, white tongue and tongue ulcer

Rash on my face, shoulders, back and white sores around my mouth

Muscle pain on and off on my shoulders under my armpit and on my chest

Shorten in breath feeling tired sleeping 14 hours daily

Swelling nodes under my jaw and one node behind my neck

Over the 14 weeks i made 12 HIV test in different labs and hospitals all of them ab/Ag or combo or 4th generation the result is negative cut off values <1

CBC test normal

EBV test week positive

CMV positive IGg

ANA negative

HSV 1and 2 positive IGg

VDRL negative

Please help Dr I'm in bad situation I need to get back my normal life my question is

1) I don't know if I can trust my HIV test or if the labs in Jordan know how to make the HIV tests.

2) do I need any further HIV tests because I read on the internet that some people who got CMV need to test for on year

3) Do I need extr tests for std

4) I'm planning to make HIV PCR but I'm afraid of the high wrong positive for this test please advice.

Finally in Jordan we have two infection disease specialist but they don't have good knowledge for HIV so any advice from you will help

Thanks a lot

Edward W. Hook M.D.

110 months ago

Welcome to our Forum. I will be please to comment. The exposures you describe were rather low risk for HIV and your test results reliably prove that you do not have HIV. Most women, even commercial sex workers do not have HIV or other STIs and even if one of your partners was infected, even most unprotected exposures do not lead to transmission. In your case condom protected sex is safe sex as long as the condom it used properly and does not break. Further, there are no proven cases in which persons have acquired HIV from receipt of oral sex. You do not need to worry and you do not need further testing. Let me now answer your specific questions:

1) I don't know if I can trust my HIV test or if the labs in Jordan know how to make the HIV tests.

All across the world, HIV tests perform similarly and give reliable results. Tests for HIV antibodies give conclusive results 8 weeks after exposure and the 4th generation antigen/antibody tests give reliable results at 4 weeks. Thus you have multiple definitively negative tests. You can be confident you do not have HIV and you do not need more testing.

2) do I need any further HIV tests because I read on the internet that some people who got CMV need to test for on year

Much of the information on the internet is incorrect. There is no need for persons to test for an entire year after an exposure. your test results are conclusive at this time.

3) Do I need extr tests for std

No, the testing you have had is sufficient.

4) I'm planning to make HIV PCR but I'm afraid of the high wrong positive for this test please advice.

You do not need and HIV PCR. It is a waste of time and your money. the testing you have already had is sufficient.

I hope this information is helpful. You should move forward with confidence that you have not got HIV or other STIs. EWH

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110 months ago

Thank u doctor,just if you may I need some clarifications

As I understand from you that my continues symptoms over three months not related to HIV, so my result always negative.

I got in the last test high index value 0.98 and <1 is negative did this change your opinion?

Finally do you know what is week positive EBV test mean?

Thank you again for your concern.

Edward W. Hook M.D.

110 months ago

Negative values can fluctuate. That your test value was 0.98 does not change my opinion. You do not have HIV!

EBV is a common viral infection which can cause, among other things, mononucleosis. It is a common and typically not serious infection. You should discuss your EBV tests with your own doctor.

It is now time for this thread to close. Take care. EWH

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110 months ago

Thank you Dr for this thread, you are the best.

Edward W. Hook M.D.

110 months ago

We're pleased to be able to help. Take care. EWH
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