Hiv testing inquiry

[Aaa140029]

Doctors,
i did an HIV1/2 Ab/Ag test 3 and 2 HIV1/2 Ab tests three months post my exposure and all three tests were negative.
-Before taking these tests by one months i discovered that i have Hepatitis C but with a very low degree that even the doctors advised me of not taking any medications for the time being.

-Also before taking the HIV tests, i did CBC test and the results were:

Haemoglobin         14.7 g/dl
Haematocnt          42.8 %
Red cell count       4.76 ml/cmm

Red cell indices:
MCV    89.8 fl
MCH    30.9 pg
MCHC  34.3 g/dl
RDW    12.5 %
Leucoytic Count  3400 /cmm
Basophils   0.4%
Eosnophils 1.6%
Staff  4%
Segmented 43.5%
Lymohocytes  37.3%
Monocytes 13.2%
Platelet Count 245000 /cmm

there is Leucopenia for age, absolute lymphopenia,absolute neutropenia and relative monocytes.Platelets are normal    
-So after this CBC test i took an immune injection booster (Betalovex), it's a normal injection advised by my doctor and that was one months before the HIV tests.
My questions are:
1) could either of the immune disorder i have or Hepatitis C  have possibly interfered with my HIV results?
2) could either of the immune disorder i have or Hepatitis C  have possibly delayed my seroconversion?
3) if someone has the hiv early symptoms, shouldn't this mean that if he tested for HIV, he would be positive?
4) Can the early hiv symptoms occur 52 days (7weeks) post exposure and last for another 2 months?
5) Can the HIV1/2 Ab/Ag test detect the HIV p24 Antigen even after 90 days of exposure or the p24 antigen dissapear after 10 weeks so that the HIV Ab/Ag works as a normal Ab test after this time?
6)Should i have a western blot confirmatory test or wait for another 3 months (6 months window period) to have another set of tests again?
7) should i have a CD4 count test now or it's needless?

Sorry for the boring bunch of questions but i would realy appreciate if i get answers from you Doctors.

Thanks in advance,
AAA

[Dr. Jose Gonzalez-Garcia, MD, MRCGP, PhD]

Hello AAA,
Here are the answers to your questions:

1) could either of the immune disorder i have or Hepatitis C  have possibly interfered with my HIV results?
NOT AT ALL.  THEY ARE TOTALLY RELIABLE AT THE TIME THERY WERE PERFORMED AND NEITHER THE POSITIVE HEPC C STATUS, NOR THE SLIGHT BLOOD ABNORMALITIS IN YOUR FULL BLOOD COUNT WOULD HAVE ANY EFFECT IN THE RESULTS.

2) could either of the immune disorder i have or Hepatitis C  have possibly delayed my seroconversion?
NOT IN YOUR CASE. HEP C CERTAINLY NOT; THE MILD ABNORMALITIES IN THE FULL BLOOD COUNT WOULD HAVE NOT AFFECTED THE CAPABILITY OF YOUR IMMUNE SYSTEM OF MAKING ANTIBODIES AFTER 3 MONTHS.  IN ANY CASE, IN THE UNLIKELY EVENT THAT THAT WAS THE CASE, THE TESTS WOULD HAVE DETECTED THE ACTUAL VIRUS (THE ANTIGEN) AND THAT WAS NOT THE CASE EITHER.
3) if someone has the hiv early symptoms, shouldn't this mean that if he tested for HIV, he would be positive?
EXACTLY
4) Can the early hiv symptoms occur 52 days (7weeks) post exposure and last for another 2 months?
NO. TYPICALLY ACUTE SEROCONVERSION SYMPTOMS CAN HAPPEN ANYTIME BETWEEN 2 AND 6 WEEKS AFTER EXPOSURE, LASTING NO MORE THAN 10-14 DAYS.
5) Can the HIV1/2 Ab/Ag test detect the HIV p24 Antigen even after 90 days of exposure or the p24 antigen dissapear after 10 weeks so that the HIV Ab/Ag works as a normal Ab test after this time?
THAT WOULD ONLY HAPPEN AFTER YOU SERO-CONVERT.  THEREFORE IF YOU HAVE NOT PRODUCED ANTIBODIES, THE P24 AG WILL REMAIN DETECTABLE INDEFINITELY.  MOST PEOPLE SERO-CONVERT WITHIN A PERIOD OF 4 TO 12 WEEKS; P24 AG IS AT ITS MAXIMUM AT 4-6 WEEKS, AND THEN GRADUALLY DECREASES UNTIL NOT BEING DETECTABLE AFTER 8-10 WEEKS, WHEN THE ANTIBODIES ARE DETECTABLE THEN.
6)Should i have a western blot confirmatory test or wait for another 3 months (6 months window period) to have another set of tests again?
NO, YOU DO NOT NEED ANY FURTHER TESTS. YOU ARE 100% NEGATIVE.
7) should i have a CD4 count test now or it's needless?
NO, NO NEED AT ALL.

Best wishes,
Dr Jose

[Aaa140029]

Waawww, thanks a lot for the fast reply, God bless you :))

Thanks you so much to you and to all the Doctors here on this site, you're really doing a great job and help.

Thanks again,
aaa

[Dr. Jose Gonzalez-Garcia, MD, MRCGP, PhD]

Not at all.  They would not haver had any effect on the results of the test whatosever.
Best wishes,
Dr Jose

[Aaa140029]

Dr Jose,
Thanks so much for your great helpful answers.

I just wish to ask one more last question about the immune boosters injections that i had, where  i did the CBC test 7 weeks post exposure then another CBC test two months post exposure (1 month before the HIV tests) and between the two CBC tests i had 3 immune boosters injections (mentioned above)  one week between each cos it only has a effect for one week (advised by my doctor) so the last injection was 22 days before the HIV tests.

Could this have possibly affected my HIV test results or delayed my seroconversion (amount of Antibodies that can be detected ) or even affected the  amount of antigen that can be detected?

Sorry to ask again but this is my last question.

Thanks in advance for your kind help,
AAA

[Aaa140029]

Doctors,
Sorry but i had a typo in my post above, the correct thing is that i did the CBC test 7 weeks post exposure then another CBC test two months post exposure (1 month before the HIV tests) and between the two CBC tests i had 3 immune boosters injections (mentioned above)  one week between each cos it only has a effect for one week (advised by my doctor) so the last injection was 22 days before the HIV tests.

I hope you read this correction befor you answer my questions above.

Thanks in advance,
AAA