[Question #8935] Do i have to test again?

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38 months ago
Hi doctors,

Thanks so much for offering this service, i'm so glad i found it.

Info: female, had an unprotected exposure in november '19, so more than two years ago. I finally got the courage to get tested for hiv last week, on monday june 13. My doctor used a hiv antibody test. It was negative. 

After i got my negative result i started worrying. I tested positive for the covid-19 virus with a covid-19 antigen test on May 29. Had some symptoms, nothing too bad. When i went in for my hiv antibody test on june 13 i took another covid-19 antigen test and still tested positive on the covid-19 antigen test. Bloodwork showed high levels of a few things, including high levels of leukocytes, thrombocytes, neutrophils and crp.

Do i need to do another hiv antibody test? 

Thank you for your reply.
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Edward W. Hook M.D.
38 months ago
Welcome to our Forum and thanks for your patience.  I’ll be glad to comment.  Your results are conclusive.  Antibody only tests for HIV are conclusive at any time more than 8 weeks following an exposure of concern.  There are no data to suggest that COVID-19 has any impact on the reliability of results.  You can be entirely confident in your results and there is no medical or scientific testing for you to need repeat testing.

I hope this response is helpful.  Please don’t worry.  EWH 
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38 months ago
Hello dr Hook, thanks for your reply.

I talked to my doctor again. I'll give some background since i live outside of the US. I took a covid-19 antigen self test at my doctor's office before i got my blood drawn for the hiv antibody test. I did the covid-19 antigen self test myself and then i gave it to my doctor. I was so nervous about having my blood drawn that i misunderstood the doctor. Apparently my covid-19 antigen self test was negative.

in summary: i tested positive for the covid-19 virus with an covid antigen self test on May 29. Had symptoms for a few days. I got tested for hiv with an antibody test on June 13. The hiv test was negative. I took a covid-19 antigen self test which turned out negative, right before my hiv test. My bloodwork showed high levels of leukocytes, thrombocytes and neutrophils. Especially the level of leukocytes was much higher (maybe because of the covid-19 infection?). With this new information, can i still be fully confident that i don't have hiv? 

Thank you and have a nice day.

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38 months ago
Forgot to add: i had covid-19 symptoms after my positive covid antigen test on May 29. I had symptoms for a few days and some of those symptoms lingered a bit longer. When i had my hiv antibody test i had almost no more symptoms of the covid 19 infection. 
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Edward W. Hook M.D.
38 months ago
Thank you for the additional information. This does not change my assessment however. Your HIV antibody test is entirely reliable. You do not have HIV. 

With regard to your elevated white blood cell count, this is a non-specific finding which can be highly variable and affected by a number of different causes. The fact that your white blood cell count is elevated has no impact on the validity of your HIV test. Please believe your HIV test results. EWH
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37 months ago
Hello,

Thank you for your assessment. 

I think all of my anxiety stems from the fact that i absolutely am petrified of needles and then the fact that i misunderstood my doctor and thought my covid-19 antigen self test was positive, while in fact the covid-19 antigen self test was negative, right before i had my hiv antibodytest.

Thank you for your time. So in summary, can i be confident that i don't have hiv and that i don't need to perform another hiv antibody test?
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Edward W. Hook M.D.
37 months ago
You are correct. Your HIV test results are conclusive and there is no reason for additional testing. Please don’t worry. 

This completes this thread. Take care. EWH
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