[Question #7371] Follow up to Question #7348

5 months ago
I definitely don’t have a severe sore throat.  It’s only minor with no fever or body aches.  So that’s not consistent with hiv?  I’m sorry to bother you.0
Edward W. Hook M.D.
Edward W. Hook M.D.
5 months ago
An isolated sore throat does not suggest HIV.

You need to get a grip on yourself and address your anxiety.  EWH
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5 months ago
I went ahead and took a 4th generation test and the results were negative.  The test was done at 14 days post exposure.   I still have a very mild sore throat, headache, and stuffy nose.  

I guess the test results verify the symptoms are not from HIV?  Also the PEP wouldn’t  effect the test results if  the symptoms we’re truly from HIV correct?
Edward W. Hook M.D.
Edward W. Hook M.D.
5 months ago
Correct.  if your symptoms were due to HIV, even while on PEP your 4th generation test would be positive.  Please don't worry.  EWH
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5 months ago
This will be my last and final questions about this exposure.  Can you explain why if you have symptoms and are going through seroconversion that you will test positive?  Have there been any studies done on this?   Is it even possible to seroconvert 10 days post exposure when I began having symptoms?  Also I tested negative for Covid and the Flu.  Which I have been feeling even worse today, more achy and mild fever.  So I just want to double the test I took yesterday at 14 days would have been correct. 
Edward W. Hook M.D.
Edward W. Hook M.D.
5 months ago

The symptoms of the ARS correlate with the high amounts of circulating virus (giving rise to symptoms such as muscle aches, fever, or sore throat) or as the antibody response to infection starts to occur, the interaction of antibodies with the circulating virus.  As a result, 4th generation tests, which detect both the virus (antigen) and the response to the virus (the antibodies).  These events are well described in the medical literature and I can validate them from numerous patients with the ARS whom I have seen and cared for. 

Glad you tested and were negative for both flu and COVID, either of which could explain your symptoms. More likely than not, you have one of those pesky viruses which folks tend to get from time to time. 

As you point out, with this 3rd response there will be no further responses and the thread will be closed shortly.  Please don't worry.  EWH

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