[Question #698] Thrush, mouth ulcers early symptoms

54 months ago
Hi dr , 

I had an incident 9 weeks ago and about 4-5 weeks after the incident I started to get mouth ulcers especially on tongue every week  and thrush on the tongue, my question is if i did contract HIV would I get symptoms like I mentioned that quick?  I've read you get thrush on tongue later on in infection and also I've read you can get during the sero convertion phase? Please could you answer that ?  I had no other symptoms like fever, rash etc but read online you don't necessarily get them?! I got tested at 5 weeks duo test and was negative but again read online and there's loads of people saying I have to wait 8-12 weeks for a defient result?! I'm really stressing! Thanks
Edward W. Hook M.D.
Edward W. Hook M.D.
54 months ago
Welcome to the Forum.  If you had thrush ( there are many things which can be mistaken for thrush), it was unrelated to the experience 9 weeks ago that has you concerned.  Many who advise persons about HIV testing counsel their clients about test results using the information included in the package which is overly conservative and designed to protect the companies but which is also out of date and fails to reflect the many careful scientific studies which show that 4th generation, Duo tests are completely reliable any time more than four weeks after exposure.  Believe your test results.

You are correct the during the ARS seroconversion period A very small proportion of individuals to get thrush.  Nothing you describe however sounds like the ARS  and 4 weeks would be late for thrush (which, by the way, does not accompany oral ulcers).

I would not worry.  Believe you test results and do not be misled by the misinformation you get from the Internet.  EWH
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54 months ago
Thanks for replying dr, so just to make sure I understand properly, in your experience mouth ulcers aren't a sign of HIV in the first few weeks of an infection if there was one in the first place? And also thrush of the tongue? Would that be later on maybe years? 
Edward W. Hook M.D.
Edward W. Hook M.D.
54 months ago
Correct on all counts.  Thrush, which typically involves the roof of the mouth, not the tongue, is most typical in persons who have had HIV for year, not weeks.  Mouth ulcers also sometimes occur in persons with HIV but as with thrush, this is advanced HIV, not recently acquired infection.  EWH
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54 months ago
Thanks dr last question would mouth ulcers start within a few weeks of an infection or again like the thrush would be much later in the infection? I know I tested negative at 5 but still abit worried as I've been getting them all the time! Thanks
Edward W. Hook M.D.
Edward W. Hook M.D.
54 months ago
As I said above, mouth ulcers related to HIV occur years after infection, in the late stages.  Not soon after infection.  EWH---