6 years ago on a drunken night, I made one of the worst mistakes of my life and visited a high risk prostitute in Africa. It was my first time. she put on a condom on me. I didn’t see her opening a new one but rather remember her picking a condom inside a cover. The condom looked new. We only had vaginal intercourse. Since that day, however, I became very stressed. 11 days after the potential exposure, i noticed a small swollen node under my jaw. Thus,  I decided to go to the doctor and get it checked. The doc acknowledged the lymph node but told me not to worry about it. There, I tested for HIV, gonorrhea, and chlamadia and all came back fine.

Exactly 4 weeks after the exposure, I suddenly got another symptom, whereby I was unable to move my mouth as smoothly(became stiff). Also, although  I didn’t feel it - a close relative of mine told me i had a fever while greeting me. I must say that, during that time, a close friend of mine was suffering some problem that had to do with fever and swollen lymph node.

3 month after the exposure, I got a flu. During that time, I developed lumps inside my mouth, particularly on my lower gum. I went to the doctor but he was not able to see it with his magnifying glass. I still feel the lump today although it is invisible to the naked eye. 

Also, 2 years back - we were told someone from my school had tb and we all had to take tb test. The skin test, for the first time in my life became positive but the blood test came back negative . Few weeks after, however, I had a chest pain and cough which went away after few weeks. 

Doc, considering all of these signs, should I worry about hiv? Could the condom have broken without me noticing it since it was my first time? Could she have used an expired or used condom?

Welcome to our Forum.  I'll be glad to comment.  You are correct that commercial sex workers in parts of Africa are a relatively high risk group for HIV however many African CSWs do not have HIV and even if she did, your risk from a single exposure is statistically low.  With unprotected vaginal sex, HIV is transmitted only about once for ever 1200 acts of intercourse and in the case you mention a condom was used which did not break, lowering your risk to virtually zero. (When condoms fail they typically break wide open leaving no doubt that they failed.  Since your condom appeared intact, it almost certainly was.)  

Having evaluated your risk however, I am perplexed that you have not gotten a test for HIV.  If you had gotten HIV the test would be positive.  In your case, I am confident the test would be negative and this would then allow you to stop worrying.   

Thus, my advice to you is to get an HIV test.  At this time the results will be entirely reliable and should be believed.  It is clear from your question that now, years after your exposure you continue to worry. Rather than worrying, please get tested.  EWH

1.  You are doing yourself and your family a disservice by not getting tested.  I am confident that you did not get HIV.  The negative test will allow you to stop worrying so that you can move forward without continuing concern.  I suspect that your current worries are influencing how you interact with the,  I should also add that getting tested will not change whether or not you have HIV, it will only allow you to move forward.  Get tested, please.

2.  No, the lumps you have noticed do not sound anything like HPV.  I would discuss what might be there a dentist

EWH

1) In addition to the lumps, I also have swollen lymph nodes (small ones) under my jaw that have been there since the first 2 weeks of exposure . Can Hiv cause this symptom? FYI: I know it is swollen because I have been checked by a doctor who also noticed them after I showed him. 

2) Regarding tb, my tst result was positive while my qft test was negative. I had few symptoms suggestive of tb but still was dismissed with the assumption that I had taken Bcg shots as a child making the tst test positive. Can you make the assumption that my tb results mismatched because I was immunocompromised? Or would there be other causes such as: I might have been infected with another bacteria making my tst result positive? FYI: The symptoms started immediately after I heard of the diagnosis of the person that I was exposed to? Wouldn’t tb symptoms take months to develop after exposure?

Doc, are these symptoms suggestive of HIV despite the fact the fact that I wore a condom and it was my first time?

1.  HIV is one of many, many things that can cause swollen glands.  Without an HIV test, you have no idea of what is happening.  No change in my advice from above.

2.  This forum does not deal with TB but yes, TB typically takes weeks to months to become apparent.. You should talk with your own doctor,  If I were that doctor and beginning to evaluate you for TB, I would start with a test for HIV.  

As per Forum guidelines and the fact that you have now received three responses to your questions, this thread will be closed shortly.  I would not suggest you return to this forum until you have an HIV test and the results of that test.  I wish you the best.  EWH