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Anal & oral exposures

Hello,

I have had insertive anal sex on Oct 14, 08. Condom broke; noticed after 5-7 mins. He tells me he is not HIV+.

I had insertive oral sex (unprotected) with another man on Nov. 18, 08 for 10 mins. Before, I had repeated vigorous masturbation. He says his last MSM dates back 6 years and he says he had blood work done since and thinks he is negative.

Next day I started having lower back internal pains, frequent urination, a need to defecate urgently, nausea, gas, belching, and general fatigue. I cannot say if I got a fever: the most I recorded over the week of the Nov 28 was 37.5C.

Then, fatigue became extreme, night sweats began to appears for about 3-4 nights and I defecate about 3 to 7 times a day. Let up the following week, but still night sweats/day sweats, loss of appetite, weight loss. No real difficulty swallowing or dry cough if perhaps a bit of tingly feeling in the throat. In 3 weeks, I lost 8 pounds on my 186lbs frame. Most symptoms cleared by Dec 2, except repeated need to defecate and stools remain either greenish or yellow and recently are accompanied by blood on the paper.

I was tested with point of care rapid test (60 sec finger *****) on December 2, 9 and 15 - all negative.

Yet, starting around Dec 7, I got itchy blotches (3-5mm  mosquito bite) on my arms and shoulders in four places and which go away with acne cream, and a red spread on my collar bone extending between both shoulder halfway down to the chest (8 x 4 inches wide). This patch does not go away. It appears sometimes redder especially after a hot bath, and will pale in the next one to two hours without totally going away. Not itchy, but has somewhat of a (little) burning sensation.

My questions are:

1) Are my symptoms likely to be from a possible HIV infection ?

2) Can this be a primary HIV rash ?

3) Is a primary HIV rash possible after all other symptoms have gone or is it usually at the same time ?

4) Do you think it is likely I got infected ?

Thank you.
2 Responses
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300980 tn?1194929400
MEDICAL PROFESSIONAL
All 4 of the questions you asked deal with the same issue. Did you get HIV from either of the two exposures you describe and could your symptoms be the ARS.  Your major risks with either partner are your anal sex.  comparatively the risk of oral sex is inconsequential.  We can say with confidence you did not get HIV from your exposure of Oct 14 - the Dec 15 test proves that and would have detected any infection you had gotten from that encounter.

As for the other exposure, your partner says he was low risk, thus he probably was.  Most people tell the truth.  As far as your symptoms, on this forum there are uniformly repeated statements that the symptoms of the ARS are TOTALLY non-specific and when people experience "ARS symptoms" they are much more likely to have something else, usually some other, more typical virus infection.  When this has been studied in the US, less than 1% of persons seeking medical care for "ARS symptoms" are found to have HIV, the remainder having symptoms due to other processes. In contrast, over a given year, there is almost no one who has not had a viral illness, unexplained rash, night sweats or both (sometimes on multiple occasions).  In addition, it is also important to realize that many persons who acquire HIV do not experience the ARS.  For a person to try to judge their HIV risk based on "ARS symptoms" is a waste of time.

So, could your symptoms be ARS, perhaps.  Is it likely NO, emphatically.  Furthermore, no symptoms occurring more than 4-5 days before your Dec 15 test were ARS because if they were, your blood test would have been positive a few days later.

Do I think you got infected - no. Do I know what your symptoms are due to, also no.  I would suggest that you work through them with your regular doctor. They are not due to HIV.  EWH
Helpful - 2
Avatar universal
Dr. Hook,

Thank you very much for a restatement of what I initially believe but nonetheless needed comfoft to believe in.

Sincerely,

Anotherworriedguy, LL.D.
Helpful - 0

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