What Causes Sore Throat And Fever Post An Oral Sex?

Posted on Wed, 27 Sep 2017

Question: to be answered by Dr XXXXXXX or Dr jangid

dear Dr I'm a male and I had an exposure with two other males ....first exposure was protected oral sex and he licked my anus (rimming) without a protection...also second exposure involved kissing...I have never had anal or vaginal sex...few weeks after first exposure ingot sore throat and fever ...I did hiv duo test on fourth day of syntoms ...it was non reactive ... this test was about 22 days after the incident and 4 days after the symptoms started to appear ...all syntoms have gone with antibiotics ...however I have a slight fever of 98.8 degrees c on and off it comes and goes sometimes touching 98.9 rarely ...am I at risk for hiv ? if someone has syntoms will duo test be positive ?

Answered by Dr. Sankaranantham Murugan (3 hours later)

Brief Answer:
Your symptoms are not related to HIV infection.

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
You had protected oral sex. There was no anal or vaginal sex. Your HIV DUO test 22 weeks after that incident was non-reactive. Then there is no question of HIV.
After the act of Rimming, kissing happened, then there was every chance for a throat infection. Sore throat and fever can occur to anybody at any point of time.
You were relieved by a course of antibiotics. If your symptoms are due to HIV, then your HIV DUO test would be reactive.
So your symptoms are not related to HIV infection. It was just ordinary throat infection only. Nothing to worry
Dr S Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (14 minutes later)

it's 22 days Dr not weeks

Answered by Dr. Sankaranantham Murugan (10 minutes later)

Brief Answer:
Your symptoms are unlikely to be due to HIV.

Detailed Answer:
Hi,
Welcome back.
Sorry for the mistake. Even with 22 days after the incident HIV DUO test would be able to detect HIV 1 infection. Throat infection following intimate kissing is not unusual
So there is nothing to worry.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sankaranantham Murugan (42 minutes later)

thanks Dr for your prompt reply ...just wanted to know that if a person is experiencing hiv ARS syntoms then would the hiv duo test detect it if symtoms are present ? it cleared with antibiotics but since 3 days I'm getting 98.8 fever on and of lasting few minutes everyday ...I don't have any throat pain but still getting fever ...also wanted to know is running a risky activity ..have u seen someone get hiv from rimming and protected oral sex ? thanks again

Answered by Dr. Sankaranantham Murugan (6 hours later)

Brief Answer:
You are free from HIV infection.

Detailed Answer:
Hi,
Welcome back.
People with HIV and ARS symptoms will definitely show a reactive result with HIV DUO test. No doubt.
You may have to continue the antibiotics for few more days. Your symptoms are not due to HIV infection.
I had not come across a single patient so far in these 29 years of my HIV practice with the history of acquiring HIV with a protected oral sex. Rimming was done on you, and you had not tried and there is no question of HIV transmission. I had no such case also.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (1 hour later)

dear Dr ...also my body temperature fluctuates goes to 36.3 c at night and in day rises to 37.1 c. is this normal ? is rimming zero risk ? by rimming I mean that he used his tongue in my anus ...is that risky ...rimming was without protection ...after fingering ...he rimmed me ...also for future what are the safe activities and which ones are risky ? thanks

Answered by Dr. Sankaranantham Murugan (13 minutes later)

Brief Answer:
Your HIV risk is negligible only

Detailed Answer:
Hi,
Welcome back.
Anal and vaginal penetrative sex are considered as high risk activities for HIV transmission and oral sex carries a low risk. Fingering, kissing are having negligible risk.
Rimming and fingering in your case have negligible risk.
Variations in body temperature in fractions will settle within few days.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Sankaranantham Murugan (17 hours later)

thanks Dr your reply Dr ...also I just checked at around 130 am at night my body temperature was 97 c ...isn't this quite low ....can hiv cause such temp ? in day it goes up to 98.8....im still quite scared ....I'm I safe for sure ?

Answered by Dr. Sankaranantham Murugan (4 hours later)

Brief Answer:
Your symptoms are unlikely to be due to HIV.

Detailed Answer:
Hi,
Welcome back.
It is not anyway indicates HIV. You are unlikely to have HIV infection as through your mentioned activities.
Consult your physician and get well soon.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sankaranantham Murugan (2 hours later)

thanks Dr....but is a temp of 97 f at night normal ? in general does it have anything to do with hiv ?

Answered by Dr. Sankaranantham Murugan (7 minutes later)

Brief Answer:
This is not Related to HIV infection

Detailed Answer:
Hi,
Welcome back.
Temperature 97 degree celsius is normal for certain individuals and it has nothing to do with HIV.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Sankaranantham Murugan (47 minutes later)

thanks a lot Dr ....I read somewhere that temp variations are common in ppl with hiv ...as mentioned in the day it goes upto 98.8 at times and at night I was feeling very very mild shivering and it was 97....also do I need to repeat any tests ? just to mention he fingered me first and then rimmed for a few minutes but when I asked him he says he is negative ....

Answered by Dr. Sankaranantham Murugan (1 hour later)

Brief Answer:
Your symptoms are unlikely to be due to HIV.

Detailed Answer:
Hi,
Welcome back.
Temperature variations is not a feature in HIV.
Feeling of chillnness and temperature variations can occur with fevers due to various causes like urinary tract infections, malaria, filariasis etc. So you have to meet a general physician. He/she will examine and investigate the cause.
Then after treatment you will be alright. Fingering carries negligible risk for HIV transmission.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Sankaranantham Murugan (45 minutes later)

thanks a lot Dr....so these are not symtoms of hiv right ? also is getting rimmed (person using his tongue on anus ) negligible risk ? my tests were duo tests and done 3 weeks after exposure and 4 days after I got syntoms ....do I need to repeat an hiv test ?

Answered by Dr. Sankaranantham Murugan (2 hours later)

Brief Answer:
HIV 1 infection is ruled out

Detailed Answer:
Hi,
Welcome back.
Your HIV risk is negligible. Your symptoms are unlikely to be due to HIV.
Your HIV DUO test 3 weeks after the risky contact ruled out HIV 1 infection and not HIV 2. HIV 2 infection is rare, less than 0.5% except in certain parts of XXXXXXX
You can rule out HIV 2 infection with the same test repeated 90 days after the incident.
Dr S Murugan

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Above answer was peer-reviewed by : Dr. Kampana