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Diabetic with generalized swollen glands, hiv?

Dear Doctor,

What a great site.
Can you PLEASE help me with some advice. I had receptive anal sex in May and the condom broke.The lad said he was ok and had but I don't know him well and maybe he did not know himslf.  I am always careful and use condoms. The next day (within 12 hours) I took PEP for 4 weeks. The glands in my groin area had been swollen for months prior to the encounter. On the second week after taking PEP my glands under my arms and to the sides and behind my neck, under my collar bone and above my elbows swelled up, confirmed by my doctor. I had a baseline ELISA test which was negatve, a test at 3 months post exposure which was negative and 4 months post exposure which was negative. After 8 weeks my blood sugars were very high, I also had trembling feelings. My glands are still swollen and I occasionally have drenching night sweats. At 3 months I got a rash of red spots on my back. Now I have a rash on my forehead, diorhea, swollen glands and my genitals keep going bright red and leaving sores. I have had a urine test and no UTI. Since my negative test after PEP at 4 months post exposure, and negative at 4 months for all other STDs, could this be late ARS for HIV? Could be diabetic cause late seroconversion? Could PEP cause seroconvesion this late? I have no other ideas for my symptoms but my doctor wants to take a lymph node biopsy.

Thank you.
15 Responses
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Avatar universal
I had the last test 4 months after the incident and 3 months after PEP. The result was negative. The GUM clinic said it was conclusive but they will test at 6 months as that is what they do.
Helpful - 0
Avatar universal
You are up aren't you. Do you think you are the only one from the UK is up at this time. MOVE ON.
Helpful - 0
Avatar universal
The guidelines are the guidelines Teak.
No one is stuck on anything and the person who 'works in the GUM clinic' (if you did speak to them at 1 in the morning on a work night) would know the BASHH guidelines, even if they are a member of the reception staff.
The guideline is on the BASHH website and should the link be asterisked out the site is bashh dot org > guidelines > HIV
http://www.bashh.org/documents/63/63.pdf

As for your slanging people with psychiatric disorder insults while you compulsively answer questions without the local knowledge. How immature. Reported.

Observational data are limited, but in ten years of application of the 'three months rule' by all members of the UK HIV Laboratory Forum no reports of its failure have been received, and thus it is recommended that in general the three month rule continues to be applied  Patients may be infectious to others during this period and should be advised of this. In cases where post exposure prophylaxis (PEP) is given a 6 month follow-up test is recommended due to the fact that antiretrovirals may reduce replication and prolong antibody response.
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Avatar universal
Thats incorrect. I just talked to person that works in the GUM clinic to verify what I said and it is the same in the UK as the US. 3 months post the last dose of PEP. You are stuck on the 6 month testing. You need to take it back to the OCD forum.
Helpful - 0
219662 tn?1223858560
Markie, since you were on PEP, it's not a bad idea to get another HIV test done, at least 3 months from the end of PEP treatment. But it sounds to me like you are OK, the tests you've done should have been positive by now if you really had HIV.
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Avatar universal
Markie1974 is in UK, where a 6 month post-PEP test is recommended.
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Avatar universal
The guidelines for PEP is testing at 3 months post the last dose of PEP to recieve your conclusive results.
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Avatar universal
If you have had an exposure significant enough to warrant PEP you should have been under the care of an HIV specialist. They would have advised you on post PEP testing. The testing protocol (per BASHH) recommends a follow up test at 6months. What did the clinician say?

Your state in your thread in the Lymphoma forum you had swollen glands from 6 months ago, while your UPSI was 4 months ago so the chances are it is not HIV causing your swollen nodes.
Diabetes does not have an effect on seroconversion time. PEP slows down viral replication so can have an effect on seroconversion time.
Are you a diagnosed Diabetic, with type 1 or 2?  

It's pointless trying to determine if you have HIV from symptoms. The addition of PEP into the equation, pre-existing lymphatic symptoms and Diabetes (if you really are diuabetic) makes guesswork all the more futile.
You need to test to know. Contact the clinic who arranged the PEP and seek their expert advice.
Helpful - 0
Avatar universal
Get tested that is the only way to know your status.
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Avatar universal
They are slightly visable on the side of my neck when I turn my head.
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Avatar universal
Hi Justan,

My glands around my groin are large, about 2 to 3 cms, under my arms about 2 to 3 cms, under my collar bone about 2 cms and around my neck about 1cm, under my jaw under my ears and one 2 cms under my left side. .
Helpful - 0
Avatar universal
i was told by the dr. on this site that late seroconversion is a urban myth!! It does not happen to normal people, i think that if you are worried about it just get another test! I also want to know, How big are your glands? Are they visible?
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Avatar universal
Hi,
They do hurt sometimes, not when I touch them, they just kinda ache.
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Avatar universal
do these glands hurt??
Helpful - 0
Avatar universal
do these glands hurt??
Helpful - 0
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