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Candid thoughts and expert recommendations

Doctors:

Thank you for your time and your recommendations.

History: 24 years old, male, heterosexual from dayton ohio at a major university. 3 years and 4 months ago I had unprotected vaginal and oral intercourse with a female of unknown status the only thing I know is that at this time she had been with 20 guys. For myself I have only been with 3 woman. we were 20 just about to turn 21.

2 wks after NGU and extremely red urethral opening.  another week (3 wks past) I became sick with white spots on tonsils (not a covering, but pus pockets) cough, fever that went to 100 degrees . Swollen nodes, conjunctivitis, stuffy nose, sore throat, this eventually went away.

in short I started testing at university health clinic 7 weeks past for HIV neg, chlamydia, gon, trich, syphilis, Hep b surface antibody all  neg.

10 wks undetectable HIV viral load.
3,4,5,6,8,9,12 months after all Negative HIV test. all oraquick and 4 ELISA's
1.5 years neg
2 years and 10 months Neg HIV antibody oraquick
3 years past neg ELISA
3 years 3 months NEG Home access HIV-1

Currently, I still have the same generalized adenopathy ranging from pea to marble sized posterior cervical chain, under chin, behind ears, and under my arms, one about pea sized in groin. I also get a stabbing or electric feeling that happens in my toes on and off. I started taking B12 vitamins

Also, on the side of my tongue I have had a white area for over 1 month now and it tingles at times. I think it could possibly be OHL . I know you can not diagnose this over the internet however please at least look at the attached pic and see if you would recommend OHL biopsy. I do not have Health insurance, only university clinic .

   http://www.flickr.com/photos/59566679@N03/

Could this be a rare strain? type O, N ?
Should I do a CD4 or another Viral load?

This happened before I met my now fiancé who is a RN,BSN..... I had her test 2 weeks ago home access NEG. we have been together 2 yrs. completely monogamous
3 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
No, I do not recommend those tests.  It is not possible to have HIV with symptoms and have a negative antibody test.

If you remain concerned by your symptoms, you should see a health care provider and get personally evaluated.  In most universities, the student health services these days are highly competent in STDs and HIV issues, and you undoubtedly can rely on the quality of care; and if they are not quite up to speed and recommend a consultation (perhaps with an infectious diseases expert), it probably will be covered in the same way as routine care.  Alternatively, excellent care likely is available at little or no cost at a local community clinic.
Helpful - 0
Avatar universal
Okay thank you Doctor....

Do you recommend a viral load, or CD4 count being I am having tongue issues?

Is it possible to be symptomatic however test negative on an Antibody test?

that will be all thank you for your time
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

An unchanging, universally understood principle in the HIV/AIDS clinical world -- shared by all researchers, clinicians and other experts -- is that testing always overrules symptoms, exposure history, or any other factor in judging whether or not someone is infected with HIV.  Your test reuslts prove unquivocally that you do not have HIV.  The supposed rare strains that can escape detection by the standard tests are essentially absent in the US, and certainly could not have been present in Ohio or in a female partner like yours.  Such strains are virtually entirely limited to the geographic areas where HIV evolved, such as tropical Africa.

In addition to the proof of your negative tests, you had a low risk exposure.  A partner like you describe has virtually no chance of having any HIV infection, let alone an uncommon strain like the ones you mention.

As to the cause of your symptoms, on this forum we don't speculate about non-HIV possibilities.  And we also don't examine clinical photos; in our view, it comes too close to practicing medicine from afar.

If you have symptoms that still concern you, find a health care provider you trust and follow his or her advice.  But whatever is going on, it is not HIV or any other STD, and it is not something you caught during the sexual exposure described above.

I hope this helps.  Good luck-- HHH, MD
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