[Question #2270] Follow up

44 months ago
A follow-up​ to earlier questions about HIV and HSV symptoms and testing. I have tested several times over the last 2 months post episode and have tested negative at 8 weeks for the following; chlamyidia, gonorrhea, HIV, syphilis, Hep B, Hep C, and have had a CBC & CMP & Urinalysis with few abnormalities. I did test positive on all the tests for HSV2. Since a week after the episode I have had several unusual symptoms that have been bothersome that includes; aching legs (mainly​ the back of the knees and thighs), painful/burning/stabbing feet, occasionally have throbbing pain in uritha (not painful urinating), an episode of small red dots over both legs that lasted a couple days and cleared, mild pain in the testicle region, pimples on the back of neck and face. My question is, could some of these just be reaction to the HSV2 or is there a chance of some type of bacterial or viral infection? If it could be bacterial or viral is there any specific tests that could be done to identify? 
Edward W. Hook M.D.
Edward W. Hook M.D.
44 months ago
Welcome to our Forum.  You seem to indicate that your e-mail is a follow-up question but I do not see any other questions form you.  Perhaps you are referring to some of our responses to others.  With regard to your specific question, the sorts of symptoms you describe (aching legs (bilaterally), painful/burning/stabbing feet,  pain in pain within your urethra, small red dots over both legs, mild testicular pain, or facial pimples)) are not typical for genital herpes infections or for that matter, other STIs.  On the other hand, these symptoms could have multiple causes and tend to be non-specific.  In many instances we find that these are the sorts of symptoms that persons worried about their own risk for STI who are looking for symptoms tend to attribute to their potential exposure but, in fact, are actually just coincidental.  My recommendation would be not accept that you did not acquire an STI from your encounter of concern.  I really do not see any reason for STI testing of any sort.

I hope these comments are helpful.  If I have not fully addressed your questions, please feel free to restate your question.  EWH
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