[Question #2492] Unprotected Sex, 102 Fever, Sore Throat 7-8 days HIV or other STIs

43 months ago
Hi, I (Male 23) had unprotected vaginal sex on  9 days ago Thursday 07/13 for about 4-5 mins of exposure with a friend (Female 21) who is known to have slept with a lot of people in the past. I developed slight pain in my right testicle the next day which still persists to date but is not present  most of the time. Sometime there is also pain in my right lower abdomen. I had a slight fever the next day as I was caught in the rain but that quickly healed but left me with a cough and sore throat  and very slight blocked nose. The sore throat and cough got much worse this Thursday (07/20) - felt like a clawing feeling and I had very high fever that night. The next morning when the fever had subsided somewhat, I checked it to be 100 F. Last night, it was again 102.7 F. Crocin only brought it down to 101 and then I took Dolo 650 and Augmentin (for possible urinary infection) and the temp. went down to 99.6 in a few hours and has stayed since this morning (I am from India). This morning, I also had spit out some phlegm with some blood in it.  I still plan on getting a duo test done tomorrow even though it may not be reliable yet. I know that single exposure of vaginal sex is said to have low probability even if she is positive - I asked her and she said that she was tested a few months ago when she had just stopped hooking up with people and it was negative but she might've been in the window period. I'm trying to understand what these symptoms could be about and it would be great if the docs could help me out here. Thank you
43 months ago
Forgot to mention, went to a urologist today and he said there doesn't seem to be evidence of urethritis but told me to get some urine culture and related tests done.
43 months ago
Another thing I noticed but was less sure about was so called oral thrush. I always have some white deposit on my tongue in the morning. But since 4-5 days after the exposure, I've noticed relatively more deposit on my tongue in the morning and some white stuff on the roof of my mouth. I used my toothbrush to remove some of the stuff on the roof of my mouth and it left me with red marks. A picture of my  mouth 6 days post exposure (still the same) is here https://www.dropbox.com/s/exycasorkykbgnz/Photo%2021-07-17%2C%2010%2034%2057%20AM.jpg?dl=0 I also got a small cut inside my mouth when I tried using my toothbrush the next day
I also wanted to ask that if fever and sore throat become better with medicine, is that indicative of it being something other than ARS or can ARS symptoms be healed quickly with continued meds too?



Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
Welcome to our Forum.  I will be happy to comment.  Testing is the right thing for you to do, even though it is quite unlikely that you have acquired HIV and are experiencing the ARS.  Some of the symptoms you describe - fever, sore throat- are common in persons with the ARS and the onset of this illness, about a week after your exposure is also consistent with the ARS.  On the other hand, these symptoms are also consistent with a common, every day viral infection of the sort that most people get from time to time and there are many reasons that make it unlikely that this is the ARS.  The reasons that the ARS is unlikely include that your partner recently had a negative test and that it is unusual to produce phlegm with the  ARS.  If you have acquired HIV from the exposure you have described and your symptoms are due to HIV, your combination HIV antigen/antibody test should be positive at this time.  I predict it will be negative.

The white material you describe in your mouth may of may not be thrush.  That it is most prominent in the morning makes this unlikely.  You should ask a health care provider to take a look.

It is also unlikely that your testicular discomfort is related to the exposure you describe.  STI-related testicular discomfort does not come and go in the way that you describe and the absence of urethritis is also evidence that this is not an STI.

I hope these comments are helpful.  To summarize my comments, it is unlikely that you have an STI or are experiencing the ARS related to the exposure on 7/13 however testing is a reasonable and appropriate thing to do.  When you do, I anticipate that the tests will be negative and at that time I would not worry further.  EWH
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43 months ago
Hi Doc,
Thank you for your reply-it puts me at some amount of peace. I do have some more questions and clarifications (symptoms I noticed after posting my previous posts) but as you mentioned the test should be positive if I have contracted HIV, I might as well wait for the result before getting back to you. Thanks again. 

43 months ago
Hi doc, I know what I said but I'm freaking out about something. My urologist had asked me to get my blood work done which just came in. There do seem to be signs of a urinary infection (albumin in urine present) but the blood work indicates low lymphocytes (1330 - absolute, 17.7%) and monocytes seem to be high (1400, 18.7 %). Reading online these seem to be indicators of auto-immune diseases. Do you still believe that this could've happened due to a common cold or something other than HIV? I am still getting the test done but this has raised my worry a lot.
Thanks
 
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
 Please don't over react to your Lympocyte or monocyte counts.   These counts fluctuate a great deal on a day to day basis and your counts are not seriously abnormal or troublesome.   Fluctuations and values of counts of the sort you mentioned are nonspecific.   Depending on the amount of albumin in your urine it may be true for this test as well. My advice is to go get tested as you plan and not to worry or overreact until you have those results. When your test is normal as I anticipate it will be, you can relax  Presuming that your test is negative I see no need to worry about or repeat your monocyte or lymphocyte tests unless you develop new problems. EWH---
43 months ago
Hi Doc,
Okay, thanks a lot for that! I think I'm freaking out a lot as this was my first time having sex ever and I have all these scary symptoms now. Thank you!
42 months ago
Hi Doc, I got an Hiv duo test on 7/26 afternoon (my exposure was on 7/13 night) which came back negative. My fever however  doesn't seem to be improving and is only in control due to paracetamol daily and sore throat and persistent cough is also there. I can also notice some small lymph nodes in chin and one in my chest just below neck. I am still very worried mainly about the window period of the test. Please advice as to what you think might be happening and what I should do. Thank you
42 months ago
I also get occasional muscle and joint aches in my back and sometimes in other places as well...I'm extremely worried
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
A duo test at 13 days after your exposure is too early to be definitive HOWEVR, if your fever was due to HIV, the duo would be positive.  Your illness is still most likely to be the sort of every day, non-STI,  non-HIV viral infection that most people get from time to time.  Try not to worry.

This is my third response to your questions.  Therefore, as per Forum guidelines, there will be no more swears and this thread will close in a few hours.  Please don't worry.  EWH
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