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HIV risk
Dear Doctor,
I am a 40 year old heterosexual man. In February 2009, I had a mishap during heterosexual intercourse in South America. The ejaculate spilled on the bed during withdrawal and there is a possibility that unprotected sex occurred toward the end of intercourse. I had a normal absolute/% CD4 of 1063/45% at 5 wks followed by negative ELISA tests at 6 wks/77 days/80 days. The first 2 ELISA's were with a home kit and the 2nd one was ordered by an ID physician. Where those tests conclusive? I am still worried that there was no specific HIV2 test ordered. Restricted sexual activities have involved condom use afterwards except for insertive heteroxexual oral sex in June '09 and Feb '10. I am concerned about those potential exposures. Starting at the end of May '10, I had 2 months of preauricular swollen nodes that developed in the setting of severe bumps while I attempted to grow a beard. Lymphadenopathy has resolved. I also developed horizontal ridges in all 10 fingernails at the same time and that lasted 2 1/2 months, until the nails grew out. In the past 2 1/2 months, I have also developed brown arcs at the tip of my fingernails and toenails. I don't know if heavy stress 2 months prior to nail issues is a contributing factor, but, I am aware that these can be HIV findings. I have no fever, weight loss, or swollen glands now. However, I have new toenails' fungal infection as well as initial thumbnails' fungal infection. This is completely new for me and I am concerned.
What are the possibilities of developing hiv related nail disease now If I contracted HIV between February '09 and March '10? What do you think I should do. Thank you.
I am a 40 year old heterosexual man. In February 2009, I had a mishap during heterosexual intercourse in South America. The ejaculate spilled on the bed during withdrawal and there is a possibility that unprotected sex occurred toward the end of intercourse. I had a normal absolute/% CD4 of 1063/45% at 5 wks followed by negative ELISA tests at 6 wks/77 days/80 days. The first 2 ELISA's were with a home kit and the 2nd one was ordered by an ID physician. Where those tests conclusive? I am still worried that there was no specific HIV2 test ordered. Restricted sexual activities have involved condom use afterwards except for insertive heteroxexual oral sex in June '09 and Feb '10. I am concerned about those potential exposures. Starting at the end of May '10, I had 2 months of preauricular swollen nodes that developed in the setting of severe bumps while I attempted to grow a beard. Lymphadenopathy has resolved. I also developed horizontal ridges in all 10 fingernails at the same time and that lasted 2 1/2 months, until the nails grew out. In the past 2 1/2 months, I have also developed brown arcs at the tip of my fingernails and toenails. I don't know if heavy stress 2 months prior to nail issues is a contributing factor, but, I am aware that these can be HIV findings. I have no fever, weight loss, or swollen glands now. However, I have new toenails' fungal infection as well as initial thumbnails' fungal infection. This is completely new for me and I am concerned.
What are the possibilities of developing hiv related nail disease now If I contracted HIV between February '09 and March '10? What do you think I should do. Thank you.
Thank you. Should I have tested specifically for HIV2 also? I was in a very cosmopolitan South American city that attracts tourists from all over the world and HIV2 has also been found there.
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