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Is Western Blot Test For HIV Antibodies After 3 Months Of Exposure Conclusive?
Question: I had a protected sexual encounter wit no oral sex with a call-girl on April 12th and had a HIV I and II Test which found to be non-reactive by western blot method on 06.07.15.Its well past 3 months and want to know how accurate it is?
As per reports, it is sensitivity is 98% and I am getting frequent ulcers in my months for the past 5 months.My lymph node is also swollen a bit behind my ear for the past 3 months . Is there a possibility of other STD's like Herpes,Hepatitis like B/C or etc?
As per reports, it is sensitivity is 98% and I am getting frequent ulcers in my months for the past 5 months.My lymph node is also swollen a bit behind my ear for the past 3 months . Is there a possibility of other STD's like Herpes,Hepatitis like B/C or etc?
Brief Answer:
HIV unlikely to be the cause.
Detailed Answer:
Hi
Thanks for your query at HCM
I understand your concern and situation
There is least possibility of any HIV infection as Western blotting is quite sensitive test. But as per international norms I would suggest you to take one more test at 6 months post exposure. Get a 4 th generation ELISA test done. As far as your problems are concerned. Do you have recurrent respiratory tract infections? I would suggest you to get complete haemogram and ESR done. Take multivitamins and calcium supplement regularly as it could be apthous ulcer. You can get tested for HSV 1 by molecular tests. Maintain oral hygiene by proper bushing twice daily and using chlorhexidine gargle 4-6 times per day. Get a proper evaluation done by physician for examination of lesion.
Hope I answered your query
You can take a follow up query
Rating and review will be appreciated
Dr Sheetal Verma
HIV unlikely to be the cause.
Detailed Answer:
Hi
Thanks for your query at HCM
I understand your concern and situation
There is least possibility of any HIV infection as Western blotting is quite sensitive test. But as per international norms I would suggest you to take one more test at 6 months post exposure. Get a 4 th generation ELISA test done. As far as your problems are concerned. Do you have recurrent respiratory tract infections? I would suggest you to get complete haemogram and ESR done. Take multivitamins and calcium supplement regularly as it could be apthous ulcer. You can get tested for HSV 1 by molecular tests. Maintain oral hygiene by proper bushing twice daily and using chlorhexidine gargle 4-6 times per day. Get a proper evaluation done by physician for examination of lesion.
Hope I answered your query
You can take a follow up query
Rating and review will be appreciated
Dr Sheetal Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I dont have any respiratory problems and neither do I smoke.
Had a CBC check and find the details below:
ESR: 03 as per report of Westergreen
Lymphocytes: 28%
Monocytes:03%
Eosinophils: 75%
Basophils: 00%
RBC: 5.11mill/cumm
Platelet: 100000(Reduced)
WBC:7600
Neutrohils:62%, What are the common symptoms of HSV and what about the nodes swelling near my ears?
Glucose(Fasting-GOD-POD METHOD): 101mg/dl
Urea: 22.1mg/dl,
Creatinine:.9mg/dl
Uric Acid: 6.3mg/dl
Chloesterol: 119mg/dl
SGOT:41U/L
SGPT:76U/L
Had a CBC check and find the details below:
ESR: 03 as per report of Westergreen
Lymphocytes: 28%
Monocytes:03%
Eosinophils: 75%
Basophils: 00%
RBC: 5.11mill/cumm
Platelet: 100000(Reduced)
WBC:7600
Neutrohils:62%, What are the common symptoms of HSV and what about the nodes swelling near my ears?
Glucose(Fasting-GOD-POD METHOD): 101mg/dl
Urea: 22.1mg/dl,
Creatinine:.9mg/dl
Uric Acid: 6.3mg/dl
Chloesterol: 119mg/dl
SGOT:41U/L
SGPT:76U/L
Brief Answer:
Apthous ulcer more likely than HSV.
Detailed Answer:
Did you had any fever in recent past? I would suggest to get the platelet count repeated. Check your eosinophil counts it cannot be 75%. The rest of the investigation are normal. In your case it appears like recurrent aphthous ulceration which can occur several times per year in an otherwise healthy individual. Usually no treatment is required except multivitamins but if painful lidocaine containing topical agents are useful. HSV must be ruled out .The HSV 1 can cause oral ulcers, sore throat, fever, swollen lymph nodes and pinful swallowing. Lymph nodes infection can be due to the HSV infection. Diagnosis can be made by Viral culture, viral DNA test or Tzanck test to check for HSV.
Take care
Apthous ulcer more likely than HSV.
Detailed Answer:
Did you had any fever in recent past? I would suggest to get the platelet count repeated. Check your eosinophil counts it cannot be 75%. The rest of the investigation are normal. In your case it appears like recurrent aphthous ulceration which can occur several times per year in an otherwise healthy individual. Usually no treatment is required except multivitamins but if painful lidocaine containing topical agents are useful. HSV must be ruled out .The HSV 1 can cause oral ulcers, sore throat, fever, swollen lymph nodes and pinful swallowing. Lymph nodes infection can be due to the HSV infection. Diagnosis can be made by Viral culture, viral DNA test or Tzanck test to check for HSV.
Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I had 1st platelet check on 04.07.2015 which showed 100000 and after 3 days it showed 0.80 lacs/cumm means 80,000 and WBC raised to 9900 from 7600/cumm in the 2nd report.
Eosinophils :07%.
I dint had any fevers for the last 2 years.Do condom use don't protect HSV or other STD's? Ans how safe is lips kissing with strangers and breast sucking of any STD infected woman?
And if condoms dont break during intercouse only act,how safe it can be considered?
Eosinophils :07%.
I dint had any fevers for the last 2 years.Do condom use don't protect HSV or other STD's? Ans how safe is lips kissing with strangers and breast sucking of any STD infected woman?
And if condoms dont break during intercouse only act,how safe it can be considered?
Brief Answer:
Viral infection likely in your case.
Detailed Answer:
Hi
If you have got your test repeated then I think definitely there is some viral infection in your case.
HSV 1 or VZV infection can be acquired even without intercourse. You need to visit a physician to rule out these two possibility in your case by tests.
Yes condom protects from STD genital infection but not oral infection caused by kissing or sucking. Oral infection like HSV, VZV, gonorrhea, etc. can occur.
If condom breaks then there is chance of STD infection depending upon duration of contact post breakage.
Take care
Viral infection likely in your case.
Detailed Answer:
Hi
If you have got your test repeated then I think definitely there is some viral infection in your case.
HSV 1 or VZV infection can be acquired even without intercourse. You need to visit a physician to rule out these two possibility in your case by tests.
Yes condom protects from STD genital infection but not oral infection caused by kissing or sucking. Oral infection like HSV, VZV, gonorrhea, etc. can occur.
If condom breaks then there is chance of STD infection depending upon duration of contact post breakage.
Take care
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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