Glans Mycosis + Chlamydia = high risk to get HIV ?

[MonsieurX]

Dear Doctors, I am a 28 years old gay male from France.

At the end of March,  I went to Miami  and had sex with a latino. I penetrated him (with condom and lubricant) and he gave me a blow job. The thing is that at that time I noticed that my glans was a little redder than it usually is. This “redness” became more acute the following days and my glans was seeping. Back to France, I had an appointment with my TP and I was diagnosed with a “benign mycosis’’ treatment = econazole. The mycosis completely disappeared in 4 weeks.

On last February I’ve been diagnosed with whooping cough and I've been given macrolides. My generalist told me that macrolides sometimes have some side effects like mycosis but nothing like that was indicated on the insert.

Then I went to the hospital to get tested for all sexual diseases. All results went negative excepted for Chlamydia. The specialist said it  was a “little positive’’. So, when I was in Miami I was Chlamydia positive and I didn't know that! treatment : doxycyline / 14 days.

1)Do u think this  “benign mycosis’’ is due to the macrolides I took? or
2) it is more likely to be a consequence of Chlamydia?

Please note that whooping cough had been confirmed with a serology on last February. ARS had to be abandoned when all tests – from Agp 24, PCR, to ELISA went neg – I have only been vaccinated against whooping cough as a child in 1981 & that’s all. Doctors told me that they now see many young adults with this pathology.

I got tested at 4 & 8 weeks as follows:  1)  HIV ½ gO – Abbott /  Axsym = NEG 2) HIV – Combo – Abbott / Axsym =  NEG

3)Are Abbott / Axsym tests reliable?
4)Do you think a 8 weeks / 56 days test compared to the risk I took is enough to completely peace my mind or should I wait for the 12 weeks (84 days) test ?  If so, can you please try to quantify the probability that those neg results will remain negative?

Doctor, I am so scared. Please reply. Merci beaucoup.

[Edward W Hook, MD]

Good questions.  Straight to them:

1. Yes, the antibiotics you took would make a fungal infection (benign mycosis) more likely.
2.  No, the fungal infection is unrelated to the chlamydia infection although any antibiotic treatment (including doxycycline) will increase your risk for fungal infections (BTW, having a "little bit" of chlamydia is like being a little bit pregnant- either you are or you are not)
3.  The tests are reliable- believe them
4.  At 8 weeks 98-99% of tests that are going to be positive will be.  I would be comfortable with that result but the threshold for your own personal comfort is something you need to figure out.  There is certainly NO reason for testing beyond 12 weeks however.

Hope this helps.  EWH

[Edward W Hook, MD]

Glad we could help.  Sleep well.  EWH

[MonsieurX]

Dear Doctor Hook,

Thanks a lot for your fast answer.

Here in Paris, it is already 11pm and, thanks to you,  I would go to sleep better than past nights.

I don't know yet if I will go tested at 12 weeks. To tell you the truth, the last three months (whooping cough, all those blood tests and the mycosis...) have been so painful and stressful that I guess I need some rest for a while.

You made me laugh when you said / quote : ''BTW, having a "little bit" of chlamydia is like being a little bit pregnant- either you are or you are not'' but that was exactly what the infectious diseases specialist told. He said it was ''a little bit positive'' LOL

Anyway thank you very much again for your answer and congratulations for the quality of the website.

Bonne nuit !