Please Help. Recureent Parotitis

[Smpr98]

Dear Doctors
I had an incident with breast Nipple sucking,kissing on Neck and cheeks ,kissing on Vagina top of her dress and hugging of women whose HIV Status is unknown, I fear for HIV that I was accidentally swallow her breast milk or some blood from any wounds on breast/neck/cheek.and I took Test for 4th Generation on 7.2 Weeks, Rapid Blood test on 7th week, 8th week and 10th week. after 1 and half year I took standard Elisa Test everything came back as normal (Negative). but now my 5 year old daughter is facing an issue with recurrent parotitis which happens 3 times in last two month time frame,on her left cheek. and DR. Said it might be simple partial block on her left ear side gland or bacterial infection.We took CBC , everything was normal except WBC Count Doctor Said this might be due to infection and need to repeat after 1 week, once done after one week CBC was normal. the Ultrasound result was -- "Both Parotid glands shows multiple hypoechoic & shows increase vascularity on color flow - Parotitis . Left Side of Neck shows few enlarged cervical lymphnodes"-- but when ever I look online for Recurrent parotitis ,HIV is the first thing which comes up  which frightens me a lot. I was thinking is my tests was sufficent or not conducted correctly,  
I can relay on My HIV Tests completely ?
Recurent parotitis is the first manifestation of HIV ? She Has nothing else except painful swelling and fever which lasts couple of hours.
Do we need to do really worry about HIV ?

[Edward W Hook, MD]

I'm glad uld help. Again, no reason at all for concern. EWH

[Smpr98]

Dear Doctor,
Thanks for your reassurance and fast reply, you were right i found HIV when I look in to internet.it was said by some one that Children should be screened for Immune Deficiency Problems, that is why I was really worried.

[Edward W Hook, MD]

Welcome to the Forum. I know that when our children become ill we begin to think of anything that could possibly be contributing to their illness.  I'm pleased to assure you that you do not have HIV and that your tests prove conclusively and without a doubt that you do not have HIV.  Even before considering your test results, I can tell you that it is unlikely that your partner had HIV and even if she did, the activities you describe including possible swallowing of breast milk and possible contamination of cuts or sores with breast milk or blood would not put you at risk for HIV. thus there is nothing about the exposures you describe that put you at risk.  Further, the testing you had was conclusive more than once. Every test you took at times more than 8 weeks after exposure was conclusive- believe the results.

Parotitis is seen regularly and while this is occasionally (but not often related to HIV in adults,) in children and adults this is most often the result of a community acquired, non-HIV, non-STI viral infection or, less commonly, bacteria.  Lymph node swelling is common with this process.  

I suspect you saw HIV when you looked up parotitis on the internet.  Do not be misled. the internet is a common source of mis-information for our clients

In answer to your specific questions:
can rely on My HIV Tests completely ?
Yes, they are conclusive.

Recurrent parotitis is the first manifestation of HIV ? She Has nothing else except painful swelling and fever which lasts couple of hours.
No see above.

Do we need to do really worry about HIV ?
Again, see comments above.

I hope my reassurances are helpful. there is nothing in the information you have provided to raise any concerns about HIV.  EWH