Exposure: Unprotected Outer course (genital rubbing, no sex) in massage parlor
Exposure Date: 11th September 2017
First Symptom: 4th October 2017 to 8th October (5 days) [3 weeks after exposure]
• Itching in penile head and foreskin, 2-3 painless spots with white substance on it.
• When cleaned, left with red spots. Painless but mild itching.
• Spots went away in 3-4 days, (applied tenovate as prescribed by doctor)
• Tests (after 4 weeks of exposure) HSV ½ (IGM negative, IGG 1.22 (1.2 cutoff))
Second Symptom: 1st November 2017 to 24th November 2017 (24 days) [7 weeks after exposure]
• 5-6 small red painless dots on penis head, eventually grew in size, no pain, no itching
• This time it went away in 24 days, applied tenovate occasionally in between.
• Tests (after 10 weeks): HIV, VDRL, HSV 2 – All negative
Third Symptom: 5th Dec ember to 14th December [12 weeks post exposure]
• 2-3 very small red spots again on head. Again no itching no pain.
• Went away in a week. Applied tenovate in last 2 days.
• Tests: HIV, HBV, HCV, VDRL, HSV 2 all negative at 16 weeks. HSV 1 equivocal (1.07)
• No tests for Chlamydia, Gonorrhea, Tirchomoniasis yet.
Fourth Symptom: 27th dec to 31st dec [ 16 weeks post exposure]
• Mild pain in right testicle for one week.
• Ciprofloxacin prescribed by urologist for 15 days BID and 1 gm azithromycin at once.
• Tests: Urine and Semen analysis and culture plus scrotum ultra sound.
• Urine analysis normal, culture sterile.
• Pus cells 15-18 HPF in semen, culture sterile though (no aerobic pyogenic bacteria found)
• Ultrasound normal report
Condition on 12th Jan 2017
• Mild Body itching and mild anal itching since the very first day symptoms started to till date. No rashes.
• No pain to very low pain in scrotum now, penile head still not back to normal color. Some redness persits plus loss in sensitivity of the tip.
• No problem in urination, no discharge since the first day.
• Started having boils in thighs, face fourth months after exposure (not sure if it is related!)
• Hair fall excessive.
• Right hands knuckles were red and fingers looks like burnt. (dermatitis)
Doubts:
1. Do I really have any STD? If yes, possible ones?
2. After all tests I am sure enough I don’t have HIV, Hepatitis, Syphilis or HSV2.
3. Is it possible for chlamydia and Gonorrhea to cause Balanitis without pain in urination or discharge as symptoms??