you have no reason to suspect your culture was inaccurate.
feel free to pay to ask Terri Warren's opinion, our herpes expert here on medhelp too.
Taking daily Valtrex right after initial infection might delay antibodies production. Or, as Grace said, you might be one of the few that will test false-negative on the current tests.
Hi Grace. So I was doing research and found something interesting. I am going to post part of the info below.
"Molluscum contagiosum virus
(MCV) can cause a cytopathic effect
(CPE) in some tissue culture lines,'
although this is not widely known (and
indeed was not initially known to us).
In our laboratory we have observed
that MCV can cause a CPE in both
MRC5 and monkey kidney cells; both
cell lines are used in the isolation of
herpes simplex virus (HSV). The CPE
of MCV disappears with first passage
but that of HSV evolves more rapidly
and can be passaged. HSV type 2
generally produces more marked
ballooning of cells when compared
with HSV type 1 and MCV. Our
laboratory does not routinely perform
serial passage, immunofluorescence
(IF) or electron microscopy (EM) on
specimens causing a herpes-like CPE.
In an attempt to determine how
often MCV produced a CPE we
swabbed classical molluscum lesions
over a 3 year period. Swabs were sent
to the laboratory in transport medium
requesting herpes virus culture. The
specimens were inoculated onto tissue
culture, the laboratory worker being
unaware of the diagnosis. Nine of
19 swabs yielded a CPE and were
reported as "herpes simplex virus
isolated".
We present a case history to illustrate
how misdiagnosis might arise
from swabbing atypical lesions.
A 22 year old female with no past
history of genital herpes or molluscum
presented with a slightly tender vulval
lesion of two weeks duration. On
examination an indurated crusted
lesion 0 5 cm in diameter was present
on the left labium majus. A swab was
taken for herpes culture. The
laboratory reported the isolation of
herpes simplex virus from observation
of a CPE but did not perform confirmatory
tests on the cytopathic agent.
The aetiological agent of the lesion in
this patient may have been MCV or
HSV.
It is important that misdiagnosis
between HSV and MCV is not made.
It has been suggested previously that
specimens producing a CPE that will
not serially passage should be submitted
for further confirmatory tests.2 In
our laboratory resources are limited
and therefore it is important that the
clinician states on the request form
whether the appearance of a lesion is
atypical so that the laboratory can
selectively investigate further any
CPE to confirm or refute HSV. This
should avoid potentially serious misdiagnosis."
After reading this I thought I would go get retested since it has been 4 months since my testing was done and I figured if I was positive then the blood tests would show the antibodies by now. I am on valtrex 500 mg once daily but the nurse in my doctors office told me this would not change my results and that I did not need to stop taking it before testing again. I got my results back today and got the exact same results as the first time
HSV I IgG <0.9
Negative <0.9 Index
HSV II IgG <0.9
Negative <0.9 Index
HSV IgM abs I/II EIA <0.9
Negative <0.9 Index
So should I then assume that the initial culture result was inaccurate?
Thanks
at this point you know what you have and where you have it which really is the only info that is important. from this point forward you can make educated decisions with any future partners about what precautions to take which is really all that matters. hard to tell if you are one of the low percent who doesn't test accurately on the igg tests or if this really was a newly acquired infection for you. since you aren't with that partner any longer, really doesn't matter.
Hello Grace. I had started sleeping with someone within a month of symptoms starting but I am not seeing him anymore. He states that he has been tested since I found out and that his results were negative but I did not see them myself to confirm that he was being honest.
how long prior to these symptoms had you last had sex? was that partner someone you are still with for them to get tested to know their own status?
grace