I am Moose23: 31 year old hetersexual male.
From April 2009 to June 2009 I experienced recurrent pharyngitis with exudate three times. August 2009 developed suspected bacterial pneumonia with night sweats. October 2009 again developed pharyngitis. H. Influenzae was the culprit. I responded to antibiotics each time. Bloodwork indicates a recent EBV reactivation. IgM and VCA and EBNA antibodies detected. Throughout none of the above infections did I develop a fever.
I have had a decade long history of mild candida albicans issues.
I had negative HIV testing by NAT in March 2009 (via blood donation), and most recently, via HIV-1/2 EIA AB with reflexes October 2009. NOTABLY, in April of 2009, my first sore throat occurred the day after making out (including some limited digital-vaginal stimulation with a healing cut on my finger) with a girl. She also woke up with swollen lymph nodes, but felt better after a couple of days and did not get sick again - her HIV status is unknown.
My most recent blood work indicates a CD4+ count of 335, a CD8+ count of 238, a helper/suppressor ratio of 1.38, and an absolute lymphocyte count of 846 (ref. 850 – 3900). I ended a short course of prednisone and Nasacort AQ 8 days before the blood work was performed.
My immunoglobulin levels, while on steroids, were at the lowest levels of the normal range, with a notable IgG4 deficiency of 1.5 and a low IgM of 36. My IgA was normal at 162. Overall, my IgG serum level was 742, within the normal range, and my IgG1 subset was at 382 (low=normal).
My obvious concerns are HIV, CVID (and the accuracy of the ELISA test), any differential diagnoses that come to mind. My girlfriend gave blood two weeks ago and I presume she is negative (she also gave blood in March 2009), and another possible exposure has tested negative this month (& outside 3 month window).
HIV? Cancer? Transient Immunodeficiency? Thanks for your help, I am scared to DEATH.