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PCR DNA & Antibody Test, Dr. HHH Advise

Hello,

I recently had a private lap dance at a strip club and my hand went under the strippers thong  not in the vagina, but still it was under the thong and I realized I had 2 open cuts on my fingers, & they were small but deep & may have been open. I freaked out the next day & went into panic. I saw my PCP 10 days later & he told me that nothing could really come from this. He gave me Xanax & told me to come back in a week. After 10 days i went back & still was in a panic so he said he'd do a HIV 1/2 test to calm my nerves. He did this at 20 days past exposure & it came back negative. I stayed on the Xanax but was experiencing very dry mouth. i then saw this was a possible symptom of HIV & stopped. At  3 1/2 weeks after my jaw started hurting on the left side & swelled a little bit over the following days. I couldn't take it anymore, & at 4 1/2 weeks (32 days) went & paid for an early detection test. The test consisted of an HIV PCR DNA test and a HIV 1/2 Antibody test.  These results came back negative. Now at 7 weeks my jaw hurts a lot, my mouth is dry, & due to this I am getting sore in my mouth/tongue. My fear is HIV related salivary gland swelling / issues.

1 - In the below post Dr. HHH stated that it is impossible to be infected and have a negative PCR DNA test and antibody test after 4 weeks.  Is this true?  Scientifically or opinion?  Why?
http://www.medhelp.org/posts/HIV---Prevention/Test-results-/show/1679865
2 - Do I need further testing? I have read, & the place I went recommends you follow it up with a 3 month test to be conclusive?  Had my jaw swelling & dry mouth been from HIV would my test 1 week after symptoms started have been positive? There would have to be virus/DNA in the blood for it to cause a physical reaction like that wouldn't it? Probably in large amounts?
3 - How common would HIV salivary gland swelling / issues be as far as happening at around 3 1/2 weeks?  Is it usually the only symptom?

I really thank you.

3 Responses
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to the Forum.  I'll be please to address your concerns. While AI will provide more details in my responses to your specfic questions, the bottom line is that this was a no risk exposure which did not aven require testing. Your testing however, at tthis time, PROVES that you did not get HIV.  Please read my responses below for details:

1 - In the below post Dr. HHH stated that it is impossible to be infected and have a negative PCR DNA test and antibody test after 4 weeks.  Is this true?  Scientifically or opinion?  Why?
http://www.medhelp.org/posts/HIV---Prevention/Test-results-/show/1679865

The combination of  negative PCR test, which tests for the presence of the HIV virus, and a negative HIV antibody test at 4 weeks prove that you did not get HIV.  Tests for the virus and antibodies have been carefully studied in thousands of patients during the approval process for so-called DUO tests which test for both the HIV virus as the p24 antigen and HIV antibody and found to provide definitive results at 4 weeks after an exposure.  The HIV PCR is, if anything, more sensitive than the p24 antigen. Thus your results are definitive and prove that you were not infected.

2 - Do I need further testing? I have read, & the place I went recommends you follow it up with a 3 month test to be conclusive?  Had my jaw swelling & dry mouth been from HIV would my test 1 week after symptoms started have been positive? There would have to be virus/DNA in the blood for it to cause a physical reaction like that wouldn't it? Probably in large amounts?

No  you do not need further testing.  As I mentioned above, if you had HIV your test would be positive. Further, symptoms of early HIV cannot occur unless the antigen or the antibody were present and detectable.  Persons who tell you that you must test at 3 months are being overly conservative.

3 - How common would HIV salivary gland swelling / issues be as far as happening at around 3 1/2 weeks?  Is it usually the only symptom?

This is a non-specific finding which is not particularly suggestive of HIV.  

I hope these answers are helpful. To repeat, your exposure was no risk and your test results prove that you did not get HIV. There is no need for further testing. EWH
Helpful - 2
300980 tn?1194929400
MEDICAL PROFESSIONAL
Whether or not your fingers (with cuts) contacted vaginal secretions is irrelavant- it was still a no risk exposure.

1.  If your jaw swelling was due to HIV (it is not), your HIV test would be positive.

2.  No the symptoms of recently acquired HIV occur at the same time.  

I hope this will help you.  You are not at risk.  This will complete this thread.  EWH

Helpful - 0
Avatar universal
Dr. Hook, thank you for taking the time to address my question.  Your answers and information are definitely reassuring.  The battle I currently face with myself is that I was drinking that night and cannot remember if my fingers (with open deep cuts) came into contact with vaginal fluid or not.  As stated above I'm not sure but I don't think so.  Also my facial swelling is now on both sides of the jaw and under my chin.  This has me so scared.  If possible can you please address the follow up questions I have, as this should go a long way in letting me exhale.

1 - Pardon my ignorance, but in your answer to #3 above you stated either the antigen (I'm assuming DNA) or the antibody would have to be present and detectable.  My question is so if this was from DILS my test would HAVE to have been positive since my left side jaw was already swollen, right?

2 - If this were DILS would it come in a staggered wave?  First left side jaw/parotid area swells, then 1-2 weeks later the right side swells, then a week later my submandibular area sells?  

Again, much appreciation to you taking the time to educate and inform, in a manner that can also put at ease.

Thank you.
Helpful - 0

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