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Lymphopenia after Hiv test negative
Dear Dr. Handsfield,
I wrote to you some days ago and had a very prompt reply. But again I have to bother you as it would appear I have still reasons to be worried. I went trough an Elisa combo Ab/Ag test 35 days after potential exposure (the intercourse with an ex sex worker was condom protected) and the results was negative. As you might remember, I took the decision of beeing tested because I have been suffering a mild sore throat with no fever which begun somewhat four, five weeks after exposure. This minor sore throat is still on. It goes and fade away. Now I went through a standard blood test and I discovered values that seem to be not normal. The total white cells count rose to 9,500 x mill, the Neutrophilis count rose to 74.4% and the Lymphocytes count fell to 18%, which means (if I'm godd at maths), 1.710 absolute lymph per ml of blood. Please consider that I have been so much stressed for quite a number of weeks and, at the some time, that the values of my former blood tests revealed values within the standard. What do you think is to be done and to be thought at this stage?
I wrote to you some days ago and had a very prompt reply. But again I have to bother you as it would appear I have still reasons to be worried. I went trough an Elisa combo Ab/Ag test 35 days after potential exposure (the intercourse with an ex sex worker was condom protected) and the results was negative. As you might remember, I took the decision of beeing tested because I have been suffering a mild sore throat with no fever which begun somewhat four, five weeks after exposure. This minor sore throat is still on. It goes and fade away. Now I went through a standard blood test and I discovered values that seem to be not normal. The total white cells count rose to 9,500 x mill, the Neutrophilis count rose to 74.4% and the Lymphocytes count fell to 18%, which means (if I'm godd at maths), 1.710 absolute lymph per ml of blood. Please consider that I have been so much stressed for quite a number of weeks and, at the some time, that the values of my former blood tests revealed values within the standard. What do you think is to be done and to be thought at this stage?
MEDICAL PROFESSIONAL
You have posted your question on the wrong site. Questions about HIV must be posted on the HIV site. I will give you a single brief answer to your question however if you wish to discuss the issue further, you must post again on the HIV site.
I have reviewed your earlier exchange with Dr. Handsfield at which time he indicated that symptoms suggestive of the ARS were poor predictors of HIV infection. I see that despite his reassurrances, you chose to get tested and, to no suprise to Dr. Handsfield or I, your test was negative at a time (7 weeks post exposure) when over 95% of tests that were going to become positive would be positive. The answer to your current question will be similar.
Your white blood cell count is not abnormal although in some labs it is on the high side of normal. In addition, particularly after stress or a recent sore throat, an 18% lymphocyte count is not at all worrisome either. If there is anything that would be less reliable than a sore throat for predicting HIV infection, a low lymphocyte count would be an excellent candidate. You lymphocyte count is no reason for concern.
I urge you to accept that you do not have HIV and that you do not need further testing. I hope this helps. EWH
I have reviewed your earlier exchange with Dr. Handsfield at which time he indicated that symptoms suggestive of the ARS were poor predictors of HIV infection. I see that despite his reassurrances, you chose to get tested and, to no suprise to Dr. Handsfield or I, your test was negative at a time (7 weeks post exposure) when over 95% of tests that were going to become positive would be positive. The answer to your current question will be similar.
Your white blood cell count is not abnormal although in some labs it is on the high side of normal. In addition, particularly after stress or a recent sore throat, an 18% lymphocyte count is not at all worrisome either. If there is anything that would be less reliable than a sore throat for predicting HIV infection, a low lymphocyte count would be an excellent candidate. You lymphocyte count is no reason for concern.
I urge you to accept that you do not have HIV and that you do not need further testing. I hope this helps. EWH
Dr. Hook,
sorry for having posted the question to the wrong site. Thank so much anyway for your prompt, helpful and kind replay. I think that anxiety took control over me. This is what I'm repeating to the conscious part of my mind, but still you have the unconcious one.
Thanks again
sorry for having posted the question to the wrong site. Thank so much anyway for your prompt, helpful and kind replay. I think that anxiety took control over me. This is what I'm repeating to the conscious part of my mind, but still you have the unconcious one.
Thanks again
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