Hiv test after 8 weeks

[Krawitzsky]

Dear Doctor,
I had an unprotected vaginal sex with sex worker 11 weeks ago. Since that time I´ve passed two combo tests - 1 at 4 weeks and 1 at 8 weeks, both negative. At 8 weeks me and my girlfriend with I had inprotected sex approximately 2 weeks after exposure had a two weeks pharyngitis (no fever) and my girlfriend also swollen glands for two days. I passed test for chlamydia and found out that I caught it from the sex worker, also ureaplasma. Now I´m feeling my lymh nodes on the neck are larger and also have white plaque on my tongue. I´m very afraid that I infected my girlfriend. We have a little baby. I´ts a hell...

[Edward W Hook, MD]

Welcome to the Forum.  I will try to comment.  Let me first address your concerns about HIV.  You were not infected by the encounter that you described.  HIV is not a common disease and your two negative tests were taken at a time when results are definitive, proving that you were not infected.  There is no reason for further concern about HIV and no reason for additional testing for HIV related to the encounter that you have described.  Your girlfriend's sore throat is a coincidence, unrelated to the exposure that you mention.

Now a comment about the other STIs that you mention.  If you have chlamydia, please be sure that your partner is also treated.  Chlamydia can be present without symptoms and could lead to complications for her.

I hope these comments are helpful. EWH

[Edward W Hook, MD]

No, it is statisically improbable.that you have chlmydia or any other STI

And as I have now said three times, there is no evidience you have HIV and you should believe your results.

This will be my final response.  Further repetitive, anxietydriven questions will be deleted without comment.  EWH

[Krawitzsky]

But it´s very probable. So I can really believe my HIV tests results?

[Edward W Hook, MD]

Then there is no evidence you have either infection.  EWH

[Krawitzsky]

I see. Sorry for being a bit insulting. I´ve got urine tests for chlamydia as I wrote before - these are negative. Thank you doctor and wish you all the best.

[Edward W Hook, MD]

1.  Detection of chlamydia antibodies is a research test and not recommended or useful for chlamydial diagnosis.If this is your only evidence of chlamydia and you were not tested in your urine or with a swab, then you do not know if you are infected or not.

2.  As for the question about HIV seroconversion, this is a bit insulting.  I told you twice that your results were definitive. If you are not going to believe me, you shouldn't have asked in the first place.  

Finally, lymph node swelling, If that is driving your concern, is a non-specific finding.  Believe your (HIV) test results.  EWH

[Krawitzsky]

Please understand that I´m in a very difficult situation. If the girl has had chlamydia and was willing to have unprotected sex (than also with other clients) it was a very high risk exposure (thinking about chlamydia infected is more infetious with hiv if present and so more likely to catch it).

[Krawitzsky]

Chlamydia was detected in the western blott test but urine test was negative. Yes I´m asking about HIV seroconversion.

[Edward W Hook, MD]

If your chlamydia was detected by a blood test this may be true. If it was detectedin a urine test or using a swab specimen taken from your penis, then you are most likely to be infected.  

ARe you talking about HIV seroconversion after 10 weeks in your question?  EWH

[Krawitzsky]

One last question about chlamydia. My doctor said it could be IgG - memory antigens and that I´m not infectious now. Is my baby threatened by disease when it wouldn´t be true and I´m infectious? And please give me a straight answer about seroconversion after 10 weeks - can it start as late? Because I´m feeling my lymph nodes become larger that week. That´s really last question. Thanks in advance. Thank you for your support.

[Edward W Hook, MD]

Repetitive question.  I would not have said there was no reason for concern if the tests were not reliable and your results were not conclusive.  EWH

[Krawitzsky]

Thanks for the reply. Are there any know cases when seroconversion starts at 10-11 weeks with a normal healthy man? That´s my last question.