What is wrong with me?

[joesams]

Around mid Nov I made a colossal mistake and had sex with a girl of unknown status. The sexual intercourse was protected. But the oral sex (which I preformed) was not.  

Early Symptoms (weeks 1 - 5)
Back of tongue has thick white coating
Burning skin on the penis and scrotum which spreads to rest of body,lasts for 2 days
Eyelids were burning
About 5 little pink zit looking things show up around groin.
Muscles twitch all over at times
Headache and fever that lasts for 4 weeks
Sores on tongue that look like geo. tongue
Tongue pain.
Lymph nodes in neck/groin/back/arm pit hurt.

Current symptoms
lost 10 lbs in 8 wks
Muscle twitching becomes vibration (very small twitches but very fast)  This sensation comes and goes. It is happens in my back near my spine on both sides. The problem extends up the back of my neck and to the back up my upper arms.
Skin itches on back of neck nearly constantly.
A Huge sore on back tongue, painful and has a clear puss like substance on it. The sore lasts for 3 days.

Back of neck is stiff. I can put my chin to my chest but there is a little pain in upper back.
Back of neck burns either side of spine.
Small red sore appears on top of tongue.

Tests ran
Week 3
EBV  iGg  =  2499
HSV-1 < 91
HSV-2  1.58
HIV (ELISA)   = neg.

Week 10
HIV (ELISA)   = neg.
HIV RNA  =    Undetectable   (< 48 copies.)


My prim. doc told me I had mono and tested positive for the herpes virus that causes cold sores. I have never had a cold sore in my life.
Week 10 I saw an HIV specialist. After the test results shown above the specialist told me I probably don't have HIV but to get checked again in 3 mons.. I have only had unprotected (regular) sex once in my life and it was with a known person. I have never shown signs of HSV2

Do you think I have HIV?
Oral HSV-2 is rare but could the terrible sores/pain in my mouth and tongue be a result of oral HSV-2?
What do you think I might have?
What other test should I have done?

[monkeyflower]

Burning skin and muscle twitches are classic symptoms of anxiety. I know you stated you had these symptoms before you became anxious about them. But judging by your concerns and responses to Dr. Hook, I'm guessing you tend to be anxious in general and were probably anxious about this event long before you consciously realized it. My suggestion, not that you asked, is to consider counseling. If nothing else, you're feeling anxious now--counseling can help you learn to manage those feelings.

[joesams]

Thanks for the answer (sort of) . I seriously doubt the burning skin and twitching is from being anxious because they started long before I was nervous about anything. I am quite sure that it is related to my encounter and that the medical community  (or you ) just haven't caught up yet,  which is very unfortunate.  I have never had any symptoms like this before and the timing is too close to be due to something else. I am sorry for my long orignal post but it was not over 2000 characters your site makes sure of that, so I was well within the rules

[Edward W Hook, MD]

Before I even consider reading your question, a couple of comments.  This is not the site for HIV questions.  I will briefly comment on your concerns but will  not address them in detail.  In addition, you have far exceeded our word limit in your post.  the reason for this rule is two-fold.  First, if your question is so complex it cannot be made in the alltted space, it is too complex to address on this site.  Second, it takes up too much time and does not allow for others to have their questions addressed.

This answer will be brief and to the point.

1.  You do not have HIV. forget about it.  Your genital exposure was protected and peole do not get HIV form oral sex, even if their partners have HIV which is unlikely in your case.  The HIV specialist you saw was being conservative.  There really is no reason for further HIV testing accept to relieve your own anxiety.  
2.  Your herpes tests show that you DO NOT have HSV-1, the virus that causes cold sores.
3.  Your HSV-2 test  is in the low positive range where about 80% of “positive” results are actually false positive.  Mono can cause a false positive.  you can repeat the test, if it is negative, believe it.  If it is positive, get tested with either a Biokit or Western blot to prove that it is a false positive.  If either of these tests are negative, you do not have HSV-2.
4.  the chance of the sore you had in the back of your mouth being HSV-2 are close to zero.  Too long after exposure and the wrong place.
5.  The muscle twitching and neck discomfort that you are experiencing are not an STD, including HIV.  These infections do not cause muscle twitching or the abnormal sensations you describe.  Anxiety however can and my sense is that you are anxious about this.

Hope this helps. EWH

[joesams]

Just clarify,  my  HSV-1 test result was  <  0.91  and when I say my Primary doctor said I was infected with the virus that causes cold sores, I know he probably was confused between HSV1 and HSV2. Since my HSV2 result was low ..I'm  guessing I may need to get tested again..  What really concerns me is my muscle twitching and buring sensation in my neck which seems to have moved to the side of my neck under my left ear.....
I am sorry to ask about HIV on this forum .. I thought all STD's were covered on this forum. Thanks again for taking the time to answer all of our questions.
I hope you are compensated !!!