[Question #7700] HIV scared

Avatar photo
53 months ago
Hi doctor handsfield hope all is well  my question is   back in 2015   6 years back I had an exposure not knowing it was protected vaginal sex or not because I had few drinks and room was dark  but according to the Chinese csw in Guangzhou she used a condom and threw the condom and the packaging into the toilet flush  I Had doubt why did she do that  but never thought of it anyways   3 weeks after that  I had fever  for 5 days   went to the doctor  and doctor did some test and found it it was mild typhoid  parathype so he gave me antibiotics and 5 days later I was fine   fever was ky only symptoms  and 2 years later I developed a rash on my chest and stomach  doctor said  it was allergic not viral  cause it went away in 4 days  but now  I started to developed recurring boils  and my wife also keeps on puking  in the morning  also she had rash also few weeks after my exposure but on the thighs  but no fever.
Well my question is do u think HIV is the concern  is it common to just have fever as the only symptoms during ars  and rash 2 years later also recurring boils few years later  .  It has been 6 years now would I developed serious symptoms if it was HIV without meds  ?
Please doctor fo u think HIV is the cause  the sex lasted only 10 seconds . Pls advice  thanks doctor

Avatar photo
Edward W. Hook M.D.
53 months ago
Welcome to our forum. Thanks for your questions. Dr. Handsfield and I share the form and I will be answering your questions today. FYI Dr. Handsfield and I have worked together for over 30 years and while our verbal styles vary our recommendations do not. 

 The exposure you described was very low risk.  Most commercial sex workers do not have HIV, a condom may have been used, and the statistical risk for acquiring HIV if your partner had untreated HIV is substantially less than 1 in 1000 (I.e. more than 99.9% of such exposures do not lead to infection).  In addition, you have an alternate reason for your fever and the rash you describe does not suggest HIV. (The ARS is a combination of symptoms including high fever, servers sore throat, muscle or joint aches and occasionally diarrhea).  The chance that you acquired HIV is infinitesimal.  Although I would not worry about HIV, the only way to be absolutely sure is the have a test.  That said, I am confident that should you choose to test, the result will show that you were not infected.

Hope that this helps.  If there are further questions regarding this topic, please feel free to use your up to two follow up questions for clarification. EWH 
---
Avatar photo
53 months ago
Thanks for. Your fast reply doctor hook  but is it common to have fever only during ars lasting for 5 days  also without meds 6 years would people with HIV have severe symptoms  and is recurring boils symptoms of HIV because I read that boils are weakend immune symptoms such as HIV. Thanks  and I forgot to mention few years after the exposure I had diareah to  but it all occurs in different timings  thanks

Avatar photo
Edward W. Hook M.D.
53 months ago
As I said, the ARS is a syndrome with multiple symptoms and solitary fever is not considered ARS.  The symptoms of the ARS typically occur simultaneously. Most typically it takes more than 5-6 years after infection to develop the severe illnesses that are characteristic of advanced HIV/AIDS. 

Boils are not a sign of HIV.  I am not sure where you heard that. If it was the Internet I must caution you that much of what is found there is incorrect, out of date, or taken out of context.  EWH 



---
Avatar photo
53 months ago
Thankyou for your reassuring reply dr hook