rash after oral

[bagsnatch]

Dear docter, Hook,Handsfield,

After a exposure with a male sexworker BJ with ejaculation from my site and i swallowed,i develloped after 23 day a blotchy rash on my legs. both leg full of red flat spots, no other symptoms after about a week the rash was gone.it was my first and last exposute this way

Could this be the arsrash,and could i been infected with hiv
I read a lot on many sites ,but i cannot come to a conclusion,

Thanks in advance for your help,

[Edward W Hook, MD]

No, the mucosa of the mouth is NOT the same as in the genital tract.  One last time, you have no reason to worry.

There will be no further answers.  Try not to worry- there is no reason.  EWH

[bagsnatch]

Goodday Docter Hook,

Sorry i,want to come one time back after my question before.
Isnt, it thrue that the lining of the troat/tonsils has the same membrame as the vagina/anus so more vunarable for hiv.

Because maybe that,s  why swallow is more danger then spit?

[Edward W Hook, MD]

Brushing your teeth will not have any affect on your risk. Oral sex is still no risk.  No change in my assessment.

The rash you describe, if it was between your legs could have been a fungal infection.  These are more common after a person has taken antibiotics as you did.

I am confident your test will be negative.  EWH

[bagsnatch]

Thanks docter for your great explanation.
As far i know the rash wash only on the underlegs and tighs it stopped bij my feet.and no fever .

I took 5 days after the exposure 1000mg indian generatic Zitromax and one 500mg ciprox. i think this medicine cannot develloped a rash after so long time right?i think a reaction after 18 days is not possible.

I forget to tell i brushed my teeth before,but i have never visible bleedings after brushing.
Also the guy told me he never did any form of analsex, so that also makes him i hope less vunerable for contracting Hiv.
One time i will go testing and i lett you know my result,but for now a want to wait to be ready for it,because it still gives a sceary feeling.

Thanks a lot

[Edward W Hook, MD]

Welcome to our Forum.  In preparing to address your question I read the exchange that you have recently been part of on the HIV Prevention Community site.  Rather than repeat what has been said there, including many accurate quotations from Dr. Handsfield and myself, I will comment on the logic behind why swallowing does not in any way change the fact that oral sex is virtually no risk for acquisition of HIV.  When material is swallowed it travels to the stomach in literally seconds, propelled by a set of reflexes and involuntary muscle movements.  Once the swallowed material reaches the stomach it enters an environment which is still more hostile to micro organisms than the mouth.  There are high concentrations of strong acid which kill micro organisms quickly and lots more enzymes, over and above those present in saliva which act to break apart the virus.  For these reason, swallowing does not change the risk of acquisition of HIV over oral sex and spitting out genital secretions transferred in the process.  

So, now let's consider your rash.  For starters, be confident that it is not HIV, for the reasons you've already received on the HIV Prevention Forum and above.  There is no need for testing if your only exposure was oral sex.   If you feel you must be tested for your own peace of mind, test now. Since it has been more than a week since the rash appeared, had it been HIV, your test would certainly be positive at this time.

So, what could it be?    I cannot say and if the rash is gone, it may be hard to find out.  You may have had a coincidental rash due to some other sort of exposure.  Are you sure the rash was only on your legs?  The rashes of most infectious diseases are not just limited to the lower extremities (legs).  If it was just the legs, I find myself wondering about some sort of direct exposure which caused a reaction- a change in bath or laundry soaps, etc.   On  the other hand it may have been more generalized, any number of non-STD/HIV viruses cause transient rashes, as do certain allergies to foods, medications, etc.

I hope these comments are helpful to you. EWH