risk assesment

[Rab19978]

Hello Doctor and thank you for taking my question,

I had an encounter with an asian spa provider. The encounter consisted of a a very long (~10) cunnilingus and about a minute of fellatio and than protected intercourse. She also masturbated after that with finger insertion into my anus.

19 days later took a regular blood test and everything came back completely normal - red and white blood cells were right in the middle and platelets were all completely normal.

22 days after the encounter began to feel a nasal drip and sore throat. Next day the sore throat became extreme and i developed fever (~101). Today is a third day and i still have a very sore throat and a slight fever (~100).

Advil seems to lower the temperature and make the the throat pain more tolerable.

No rashes or muscle pains but i did sweat two past nights(may be from the advil). Lymph nodes are not enlarged.

Went to the doctor yesterday and was told that it's a sinus infection - my nose was runnig badly and i did have some post-nasal drip, but i never had one before with a fever.

The doctor gave me a lab referral for "HIV Elisa" test.

Questions -

1. Are my symptoms representative of HIV?
2. If i would be infected would my 19 day blood test show something abnormal?
3. when should i take this "HIV Elisa" test? is it true that once the symptoms appear the "HIV Elisa" test would come back positive.

Thanks,
Very nervous.

[Rab19978]

Thanks, I've posted a few followup questions on the "hiv prevention" list

[Edward W Hook, MD]

1. Sorry, I misunderstood.  A regular blood test provides no useful information about the presence of absence of HIV  The ELISA test will.

2.This is simply silly. Condoms are cheap and difficult to re-use.  It sounds like you are being misled by the internet.  EWH

[Rab19978]

Thanks,

My mistake for posting the wrong forum sorry.

Just a short follow up-
1. the 19 day test was a regular blood test and not an HIV test. All the results were completely normal?
2.i've also read that it's possible that the condom used was a reused one since i didn't see it being open. my ab they wash and dry them?

[Edward W Hook, MD]

Welcome back to our Forum. Unfortunately, you have posted on the wrong site.   Questions about HIV belong on the HIV prevention site.  I will do my best to answer your questions with this reply but, if you have additional questions or follow-up they must be on the HIV Prevention site.  Sorry.

The risks or HIV from the exposures you describe are close to zero.  It is statistically unlikely that your partner has HIV but, even if she does, the exposures you describe were not particularly risky.  There is no known risk for HIV from receipt of oral sex, anal masturbation, or condom protected sex.  The risk of HIV from you performing oral sex on her, IF she was infected (again this is unlikely) is less than 1 infection per 10,000 acts of oral sex and this does not change much because your exposure was prolonged.

The symptoms that you describe are those of a cold, not of recently acquired HIV and if they were due to HIV, your blood test would have been positive.  Further, at 19 days, blood tests of the sort you were tested will detect well over 50% of recent infections.

Thus, in summary, the exposures you describe were nearly no risk for HIV and there is good evidence that your current symptoms are not due to HIV.  If I were you, I would not worry further.  

I hope these comments are helpful to you. EWH