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HIV transmission in adults through breast milk

Hi
I am 24 year old male. I had a possible exposure to HIV on 1st Feb 2015(A month ago)

Description of exposure:
I went to a service bar where we get to pic a girl and we can fondle with her and request for a blowjob. I took one of the girls in my lap and started to fondle with her breast and nipples. In the meantime I was hugging her and kissed her neck and lips (no smooch she did not even open her mouth fearing infection.) Then I fingered her vagina twice (I am quite sure that I did not have any cuts on my finger). I did not even take that finger in my mouth. Next while fondling and sucking on her breasts I found out that she was lactating and I asked her why milk is there and she said that she has a 3year old son at home. While sucking on to her nipples I drank some of her milk. (Hardly around 1-2ml) But let's assume that I might have had 5ml of her milk. After the milk I had a around 750ml of beer too. Then she gave me a handjob(without condom) and the session ended. No penetrative sex (anal or vaginal), no oral sex no deep kisses.  

Symptoms:
After the episode I was death scared about it. Then through the internet I learnt about ARS and waited for them to show up.

Exactly two weeks after the exposure i.e. on 14th Feb 2015 I developed cold. I was travelling on an overnight train journey I was feeling like I have fever (fever like feeling was only on that day alone). I did not check the temperature at that time though. Then on the next day I had a very bad headache (headaches did not repeat after that time). To cut the headache I had a dose of 250mg Paracetamol and 250mg Ibuprofen. The headache and flu like feeling went away. For the weekend I partied hard and had lots and lots of chilled beer and other cold drinks along with varied brands of cigarettes. What followed the week was severe cold and cough. Lots of phlegm (Green and yellow). Also my entire face was hurting with pain.  The severe symptoms lasted for a week. I had a expectorant cough syrup and some brandy to cope up with the cough that’s what I basically take for cough. (symptoms up to 3 weeks). In the 4th week office colleagues started to say that I am spreading the cold and I should get myself checked. Then I visited a doctor who gave me some medicines. I do not know the names of the medicine but I think they were antibiotics as I got very much of liquefied stools. Doctor also said that I have a sore throat. But when I googled for the symptoms of the sore throat only some matched like dryness and itchiness. I had no pain in gulping of food but I had lost the taste for food for the entire two weeks. Then came the 4th week which followed a 3days course of medicines and that even mild cough seems to have gone away. Now I am in 5th week of my possible exposure. No or very little cough no fever and no sore throat as I visited the doctor again and she said that my throat has pretty much cleaned up. What scares me the most is the  arrival of rash on my shoulders and some at back but not on trunk. The rash is like normal and very little pimples on shoulders. Also on the thighs and legs I have similar pimples at around 15-20 places. It is not that itchy but it is killing me with fear. These are the things which I can recall. I do not know if I have missed out any of symptoms in the course of worry. Also I have lost around 3kg of body weight. I don’t know whether is because of possible infection or heavy work load combined with this worry. I also tend to have regular diet but when I think of these symptoms I lose my appetite. In the past five weeks also there are red marks appeared on my body as that of mosquito bite and gone away within 2-3 days. I also monitored my body temperature on an alternate basis and was found to be average of 36.9. Only on the day I visited doctor it was around 37.2 and went on for a week. But not it is almost 36.5. My BP is 140/80. I had no so called ARS fever ie very high fever   with muscle pain. I stopped my gym for 3 weeks to see whether I can get any muscle pain but I did not get any as that I the muscle pains by lifting weights. I couldn’t identify the swollen lymph nodes though I googled almost everything to identify the swollen lymph nodes. And there was a drastic shift in climate too. Usually its warn here now but there was some unexpected rains and cold weather.

Now the questions start.
1. The first and very important question: As I know symptoms cannot validate the status of infection but what would you think based on the exposure I had and the symptoms I described Am I infected? If in doubt what are the chances of me getting infected?  I am waiting for a 3month mark to go for ELISA. But even If I go for ELISA which around 2 month away can you please let me know that should I consider going for it or forget this darkest and the black episode of my life as just one bad dream? I am dying with worry please help.
2. Can ARS cold and fever (which I think I did not get) be transmitted like normal cold and flu? Because one of my roommates developed cold and flu when I was in the third week and also my colleagues were blaming me that they got cold through me. I am not sure whether they got cold from me or not but to sooth myself can you tell me whether ARS cold and flu spread like normal cold and flu?
3. I know I had taken medicines. I can theoretically predict that Paracetamol and ibuprofen can curb down the symptoms but the symptoms can also antibiotics also curb down the same as the infection often described  flu-like but actually it is not the same and theoretically medicines should not have any effect on the. I am correct? Also what will be effect of these medicines on ARS?
4. Now that I am in my 5th week of possible infection towards exposure and all the symptoms have started to fade away with the duration frame of 3-14 days does all these sounds like ARS?
5. Last and final question: this one is not actually the question it’s a request to all the forum members and the doctors to please answer my question as soon as possible and also to all who read this please do not make the mistake which I did as you will regret this for life. I would request all of you to please help me evaluate my situation here.

Thanks a lot and may god bless you all.

A person in need and grave danger!!!!!!!!!!!!!!
15 Responses
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Avatar universal
Hi Teva

We both are in the same boat. Your encounter is same as mine. Even I am started feeling chills all the time. All expert says NO RISK . Might be our anxiety turns us like this badly or really this is ARS symptoms For me It happened on mar 8. as per my knowledge p24 antigen test most conclusive after 28 days. You are HIV negative.
Do let me know your status.
Helpful - 0
Avatar universal
REREAD WHAT HAS BEEN WRITTEN TO YOU.
Helpful - 0
Avatar universal
Dear all,

i did get for tested and my results are as follows:

Investigation Observed Value Unit Biological Reference Interval

HIV-Early Detection Profile -1

HIV-DUO (IV th Generation test)

(Serum,CMIA)

HIV-p24 Antigen detection

(Serum,ELFA)

Interpretation -

p 24 antigen can generally be detected in serum within next two weeks following exposure to HIV-1. Its presence

reflects multiplication of the virus and hence provides an early diagnosis of the disease at the pre-sero conversion stage. In children

from HIV-1 positive mothers, the presence of p 24 antigen at birth indicates early and severe forms of the disease.

NON REACTIVE(0.07) Index NON REACTIVE: < 1

NEGATIVE Negative
HIV 2 RT Qualitative

Test Principle : Real Time PCR

Target Selected : Gag Gene

Sensitivity : The Lower limit of Detection(LoD) for this assay is 900

Specimen : EDTA PLASMA

copies/ml of plasma.

HIV - 2 RT NOT DETECTED

But they did not test for HIV-1 RNA . i am not able to reach the testing place but will contact them tomorrow and ask them why.

What i wanted to confirm that considering my exposure as the low risk exposure can I conclude that I am not infected and also do i need another testing after 3 months.

Thanks for making me confident that it was low risk.

Also can you guys please comment on this and let me know what should i do next as i am really worried about the symptoms and rash has increased and also there is cold and sore throat developed. Also i think my lymph nodes are swollen. My head is also feeling light and kinda have headaches not very bad but do have headaches.

Please help.

At least i can have a good sleep today.

Regards
Helpful - 0
Avatar universal
Dear Vance

Sorry for the trouble i believe you as you say i had no risk.

Thanks for analysing my situation at leat i will be getting some good sleep.
Hope so. Please accept my friend request i will send to my test results. I just not checked online

I will be taking the tests metioned above. If i give the samples tomorrow then i can get the results by sunday. I will surely mail you my results.

Once again thanks for the support
Helpful - 0
Avatar universal
Stop ignoring what I am writing. I have nothing more to say.
Helpful - 0
Avatar universal
Dear Vance,

Thanks for the quick reply but one more thing, if i got symptoms now which i feel i am getting(fever, some sores in mouth, dry mouth very elevated body temperatures some what like tonsilities) that is in the 6th week of exposure then if test done now will that be good? also what makes you so sure that i had no risk?

sorry for the trouble i am causing you, i have nobody to talk to about this feeling very much low wierd thoughts are coming to my mind and those are very wiered. You are biebg very kind and generous by saying i had no risk but depending upon symptoms can you atlest tell me why i had no risk?

Also one thing i have learnt from this if at all i get through this then i am planning to educate ppl on HIV and AIDS via NGO and if i dont that if i turned positive then god know what i will do. But one thing for sure as you atleat replied to me whatever step that i will take i will surely let you know and also i am planning to take the tests mentioned above tomorrow, Also you please tell me if positive of negative can i consider the tests results as conclusive as many say that 4th generation test are conlclusive after 28 days of exposure?

Please help and sorry i am causing you the troble
Helpful - 0
Avatar universal
YOU HAD NO RISK
Helpful - 0
Avatar universal
Dear VAnce

today my body was very hot, as i slept for around 3 hrs in the night and also i am different city today. i also feel vey cold in AC and under the fan too. and i dont feel like fever as the first sign of fever is chills and body ache i have very little of these symptoms. and also the rash which was appeared on calf at around 3 spots still there. Buttock and shoulder rash is not yet gone. I was also detected with eczema a month agao.

Can you please tell me about some tests which can also be conclusive?
p24 antigen and antibody test(HIV Duo) HIV RNA PCR(These tests are for both 1 and 2) Which test  to take first and which will be conclusive as of now? Please reply

Thanks a lot

Regards
Helpful - 0
Avatar universal
See a Dr, it has nothing to do with HIV.
Helpful - 0
Avatar universal
Dear all
But the rash on my feet and buttock is still there. Also  my jaw is hurting but I really don't know whether the actual pain is from lymph nodes or not. Also one more thing if at all you guys would suggest me to go for testing would now that it 5 weeks after exposure would be the right time and also which tests should I ho for
Helpful - 0
12472069 tn?1425477500
There is no real risk, and as I said I would not test. Your other symptoms are very generic and can be attributed to a range of conditions - anxiety and stress being one of them!
Helpful - 0
Avatar universal
NO RISK
Helpful - 0
Avatar universal
Thanks a lot Iwan24.

i had one more question in my mind though. when you say chances are less but are there still chances? and the test you are telling me can i also consider this one as confirmatory test. Also i have small white bumps on my body around 0.5 cm in diameter. can you please also tell me ehy are they coming? also i have one rash on my left chick not very red but somewhat red. Only one spot and kinda itchin too

Thanks a lot again for takin time to answer my que

may god bless you
Helpful - 0
12472069 tn?1425477500
HIV is present in breast milk which can be dangerous for babies but there would be insufficient quantities of the virus to affect an adult. However the likelihood this woman had HIV in the first place is very very slim. Adding all the risks together your risk is probably greater than 1:1000000. On these odds I wouldn't bother getting tested however for peace of mind a HIV Duo test can be taken. As for your cold symptoms they sound like a run of the mill infection to me and not symptoms of HIV. You are in my own opinion not in grave danger!
Helpful - 0
Avatar universal
There is also rash devoloping on my body started with legs as red spots but reduced in two days.

Guys please help me i need you support
Helpful - 0
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