[Question #5543] Assessment and Symptoms
74 months ago
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Hello Doctors,
First I would like to thank you for taking the time to answer the paranoid folks like myself.
I'll try to keep it as concise as possible. Last weekend, I met 3 escorts up in Canada, all were highly educated and self conscious girls. With the first two, I only had protected intercourse and unprotected oral, also lots of kissing but I didn't worry about it as I have educated myself reading your works and answers here. So, I thought that was quite safe.
The third one I met on last Sunday, we did the same except this time I performed oral on her, I will elaborate here to more clarity. I only stimulated her clit with my tongue while fingering. There wasn't a lot of contact of my mouth with her whole vagina. The lady smelled like a faint ocean breeze, now, I know that BV smells like fish but her smell wasn't strong nor pungent. So, I thought to myself that could be her norm. I would like to mention that she has a boyfriend for well over a year now.
Now to the motivation for this thread. Yesterday I woke up feeling fatigued but I thought it could be Friday night effect. However, by sunset I was having a fever, highest reading from my ear was 102 and goes down to 99 when I take 2 pills of 320 mg Tylenol, I take two every 8 hours. The other symptoms were as follows: enlarged tonsils especially the right one with white spots on them,dull ear pain that eased up since waking up today, Sunday, mild congestion, throat pain but it is not sore, mild headache, and joints and muscles aches. I decided that I won't go to the doctors unless the fever continues for 3 nights. Also, a colleague in the office had a nasty viral infection since the week before last whome I had many meetings with him over the past two weeks while he was coughing and sneezing.
Please advise, I really don't want to have to go to the clinic but also don't want to be careless.
Thank you again.
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Edward W. Hook M.D.
74 months ago
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Welcome to the Forum. Thanks for your confidence in our services. I'll be glad to comment. Your description is very clear- you have a flu-like illness beginning about 7 days after your most recent exposure to a Canadian CSW in which you had condom protected sex, received unprotected oral sex, and performed unprotected oral sex (cunnilingus) on her. Your concern is, could this be HIV. Answer, for a number of reasons listed below is that this is very unlikely but the only way to conclusively prove that this is not HIV is to get a test..
Why is this almost certainly due to some other community acquired, non-STI virus rather than HIV?:
1. The rates of HIV among CSW, particular in Canada, are low, typically less than 1% in most settings.'
2. Your genital exposures are condom protected and there are no instances where someone has been proven to acquire HIV from either receipt of oral sex from, or performance of cunnilingus on an HIV infected partner.
3. The onset of your illness is a bit soon for the ARS which more typically occurs 10-30 days after exposure.
4. Other acquaintances may have recently had similar illnesses.
Bottom line, you have done things right and there is very, very little chance that this is HIV- you are doing everything correctly. I personally would not be worried but, if you are concerned, testing at this time with a combination HIV antigen/antibody test will provide you with proof that this is not HIV. When the ARS occurs, circulating levels of HIV are very, very high and this are readily detected by the antigen detection tests. If you choose to test and your test is negative, you can be confident that your current illness is not due to recently acquired HIV. As I said, personally, I would not be worried enough to test at this time but of course that is a personal choice. I hope i have outlined the options and facts well enough to help you make your own decision. If not, please use your follow-up question for clarification. EWH
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74 months ago
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Thank you Dr. Hook for your kind clear answer. How about the rest of the STDs, I was mostly worried about throat gonorrhea or chlamydia.
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Edward W. Hook M.D.
74 months ago
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While theoretically possible, your risk for gonorrhea and chlamydia of the throat is likewise very, very low. Further, if present, they would not be expected to explain your symptoms as both of these infections, when present, are typically asymptomatic. EWH---
74 months ago
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Perfect, Thank you so much Dr. Hook for your kind response.