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Avatar universal

HSV 2 Positive none isolated test result

I am the sad recipient of a positive Herpes Simplex Virus Typing culture test.  Just received the results yesterday.

My partner and I were tested in November 2010 for all STDs (blood tests) and we both did not have any STDs according to the results.

Then in January (latter part of the month) we did anal sex (my first time) and he went from anal back to vaginal (found out that was a big no no) and used tons of lube and baby oil.  I got symptoms of itchy anus and vagina, burning, discharge (white and clear), painful urination, a sore (which hurt) on my vaginal wall etc.  Used Peroxide, hydrocortisone cream, and A&D ointment, but the syptoms were just getting worse.  He said it is a fungus/bacteria (he's a Veterinarian) and that I needed an antibiotic.  I had four 400MG amoxicillin pills, so I took those, and the pain from the sore (which had been getting increasingly more painful) almost immediately abated, so did a lot of the other symptoms---but not entirely.  I had a lot of relief and figured I could now wait for my already scheduled upcoming OBGYN visit.

The symptoms however seemed to get increasingly bad again, but not to the extent as they were before.  I went for my annual OBGYN visit and told them about the symptoms and was treated for BV (given Metragel for 5 days).  I did not ask for my sore to be tested since the doctor noted that I had relief from symptoms with the antibiotics.  However the Metragel didn't work and my symptoms continued to escalate.  I tried the Metragel for 2 more days but started to get a clumpy cottage cheese discharge in addition to my heavy clear white discharge.  A month had passed without improvement so I went back to my OBGYN again and by this time my discharge was yellow and I was still passing cottage cheese like cIumps that was often in my urine.  The doctor swabbed my sore for a culture (said there were now one on each side of my vaginal wall and that it could be herpetic in nature) and gave me another Rx for 5 days of Metragel and 1 dose of 150MG fluconazole.  

I waited 9 days and was given the results of a Herpes Simplex Virus Typing test.  Test said:

HSV Type 1 Flags: none Results: Negative Ref-Range: Negative
HSV Type 2 Flags: Above High Normal Results: Positive Ref-Range: Negative
Herpes Simplex Virus Culture Flags: Progressive Results: Above high normal Ref-Range: Positive None Isolated
Wet mount positive for clue cells, shows increased WBC and alkaline pH.

The None Isolated is written twice and has me very confused as well as the diagnosis in general.

Doctor was not available today but nurse said he is going to prescribe Valtrex.

I continue to have an itchy anus, vagina, the sore(s) and pass cottage cheese clumps.  Been with this same person and never had an issue until he went from anal to vaginal sex.  

I have been having the same symptoms and the same sore (although I apparently got another one on the other side of my vaginal wall) for 8 weeks now.  There has not been any scabbing and I do not have clustered bumps and they were never liquid filled.

Could this diagnosis be false positive?  I thought (and please help me if I am wrong) that you had to have an isolated result to be positive.  There are no number values given.  Just what I wrote.  

Please help.
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101028 tn?1419603004
The WB you have to wait 4 months post encounter for.
Helpful - 0
Avatar universal
That's okay Grace.  You were not alone with it being confusing.  That's why the Infectious Disease doctor said that the results didn't make sense and wanted to start over and he had the lab results right in front of him!

I will just wait the two more months (to get 3 mos after last exposure) and do the herpers WB like you suggested unless I get new lesions that can be cultured and typed again.

The results of the last viral culture was negative (they told me today), but the sore was 9 days after the original viral culture so that is not really too surprising.

It is really hard to get a straight answer and narrow this down.  

Thanks so much again and I'll post my WB in 2 mos once I get it done.
Helpful - 0
101028 tn?1419603004
the way you posted everything is the way most labs report a blood test for hsv1 and hsv2 and then a lesion culture hence why I assumed you were talking blood test.  once again sorry for the confusion but this is hard to do online without me having your lab results right in front of me :(

at this point, really not a lot I can help you with obviously.  If you get a return of symptoms, be seen within 48 hours of the appearance of lesions for a lesion culture  and typing.  If you feel the need to repeat a blood test again, make sure it's herpes WB.  
Helpful - 0
Avatar universal
I know that it looks separated when it says Herpes Simplex Viral Culture, but they are not.  It is all one result.  I just typed everything that I saw (so included that too).  I had one culture at the OBGYN w no blood drawn.  They faxed me this as the result of the culture.  

Can they use the swab for a blood test too?

If not, then I never had a positive blood test.  IgG in November was a .27 no antibodies detected. IgG in March was a .53 no antibodies detected.

I think I have it because today I have lower back pain, a headache, and out of no where became extremely tired.  Headache is a bad one.
Helpful - 0
Avatar universal
But it is a viral culture test.  Wow, now I am beyond confused. They swabbed the sore.  They did not take any blood from me at that time.  Those are the results of the Viral Culture Typing Test.  

The blood tests that I have gotten were both IgG's and they both said negative no antibodies detected.

No difference I guess.  It's positive in either case.

I will see the doctor on Monday anyway.  His office called with my results and they all came back negative, but I know that it hasn't been 3 months since last exposure so it doesn't really count.

My question still is, if you saw the results that I posted (that you are calling a blood test) as a viral culture result---would you say it is definitely positive?  I think it is as this juncture, but the none isolated made me hopeful (and my doctor too).
Helpful - 0
101028 tn?1419603004
no, blood test. you posted a + blood test result twice now.
Helpful - 0

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