[Question #9523] Follow up with respect to Question #9518
31 months ago
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Hello again Doctor. I had few queries. First of all, advanced happy new year. I understood everything said in the previous thread. I went to a nearby clinic as I am still sick. Today being the 8th day from the exposure. I currently have low grade fevers, terrible sore throat, muscle pain, joint pain, headaches, fatigue, swollen lymph nodes etc. The GP who treated me said it was a viral flu. But after I told him my story, he said it might be HIV which got me worried. I was asked to test Asap but I live in UAE where a positive result may end up getting me deported from here. I am not really confident to get tested here. But as discussed in the previous thread, I'm just a week in from the exposure. 8 days infact. My question is. The Egyptian guy who my girlfriend had an exposure with was very sexually active. Wouldn't it be very easy for him to pass it onto to her during their exposure? And then from her to me especially when I'm uncircumcised. The symptoms started from the 4th day of exposure but I gradually developed new symptoms and now I'm extremely sick. Could this be the ARS Symptoms? Could I confidently go and get tested later? It's actually not worth taking a risk if there's a chance of getting positive since we live in UAE.
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H. Hunter Handsfield, MD
31 months ago
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There's been a possible software glitch in my first attempted reply; this replaces it, just in case. Sorry if it duplicates what you have already seen.
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I'm sorry to hear you are ill, but none of this changes my previous advice. I remain confident you do not have ARS, whose symptoms cannot start as soon as yours did. And as discussed last time, other viruses (Covid, influenza, bad colds) of course are FAR more common than ARS, even in sexually active and potentially exposed persons. And don't forget you had a Covid exposure, since your partner tested positive for it. So your GP almost certainly is right in his initial diagnosis, although I'm surprised he did not advise testing for Covid or flu. (Did you tell him about your sex partner testing positve for Covid?)
To convince yourself, follow the GP's advice and get tested for HIV. Avoiding the test because you're in a country that deports HIV infected person is not a valid reason to avoid testing. First, you can be sure your test will be negative, so nothing will happen. Second and most important, if someone DOES have HIV, they have to be treated immediately: recent research and universal medical advice is that the long term prognosis of HIV infection is much better the sooner treatment is started. So infected people need to leave UAE anyway in order to have comprehensive medical evaluation and to start anti-HIV treatment. Delaying even two weeks can reduce the chance for long term survival.
So just do it. I'll be happy to comment again when you have had an HIV test and let me know fhe result. Also test for covid. I will have nothing more to say on this thread unless and until you report your HIV test result, and preferably a covid result as well.
In the meantime, re-read all my comments in your previous thread, in detail. And do your best to understand, accept and believe the reasoned, science-based, reasuring advice I am trying to give.
HHH, MD
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31 months ago
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Hi Doctor, Thank you for responding. My partner was covid positive in June. That was 2 weeks after her exposure with the Egyptian. PShe tells me she doesn't get sick that often. But like you said earlier, some people do not have symptoms at all. I will test however after three weeks. I'm going to test since you've given me the confidence that the HIV Test will be negative. Meanwhile, I'll check for other infections. My fever keeps fluctuating and my other symptoms are getting worse. I'll let you know when I get the results doctor. Hoping the thread remains open until then. Happy New Year.
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H. Hunter Handsfield, MD
31 months ago
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Thanks. Sorry I misunderstood the timing of your partner's covid. But I look forward to seeing your HIV test result. Have you also asked her to be tested now for HIV? If negative, you could skip the HIV test for yourself.---
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31 months ago
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Hi doctor, I have asked her to test. But even she's worried about testing positive ever since I got sick. It's a huge problem here in UAE if we test positive. I however made her read this and the previous thread and assured that it will be negative. I am quite worried too but I'm trying to stay confident after the assurance you have given that it will be negative. Hope my results say the same. Just have to wait three weeks with anxiety and worries.
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H. Hunter Handsfield, MD
31 months ago
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OK. No further comments until test results are available. You should not wait three weeks. A negative test now will not 100% exlude HIV, but it WILL prove your symptoms are not caused by HIV. It is the immune response to the virus that causes ARS symptoms, not the virus itself. Therefore, it is not possible to have ARS symptoms more than 2-3 days and have a negative HIV antibody test. Have a lab-based (not rapid) HIV antibody or antigen-antibody test in the next few days and report that result.---
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31 months ago
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Hello Doctor, hope you are doing well.
Unfortunately, I wasn't able to get the tests done. Most of the labs around here do not have HIV tests. But I will be traveling by the end of this month. Back to my home country where I can get tested. I did get better eventually. But now, three weeks in from the exposure, I started getting really sick again. Terrible sore throat, runny nose, joint pain, frequent headaches. Etc etc. Since the time period is correct for the symptoms to start, it's worrying me more. I'll have to wait till the end of this month to get tested. My personal doctor initially had told me that its highly unlikely that it's HIV. But my mind is still not convinced. Since these symptoms come again and again, it really worries me. I did have constant re activations of EBV around 2021. Not sure if its that either. My doctors were not able to help me cure that for good. I did develop Chronic Fatigue Syndrome from that later. So I'm conflicted whether its just another EBV/CFS reactivation or ARS Symptoms.
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H. Hunter Handsfield, MD
31 months ago
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Greetings again. I happened to be online on the forum when this came in. Most users should not expect nearly real-time replies!
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Acute HIV doesn't cause sore throat or nasal congestion. We're at the peak of cold and flu season, and almost certainly you just have another such infection, or covid. I agree with your doctor: despite your concern, there is no possibility you have HIV. (EBV also is not a likely explanation. The main symptoms of both ARS, EBV, and similar viral infections do not fit very well with your description.) You can expect a negative HIV test result after you return home; stay mellow about HIV in the meantime!
That concludes this thread. I hope the discussion has been helpful and that you will be able to move on with no further worries about HIV. Keep working with your doctors about other explanation(s) if your symptoms continue. Best wishes and stay safe.
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