Important note: Information in this article was accurate in 2003. The state of the art may have changed since the publication date. Dear Sir/ Ma'am
I wish to thank you in advance for your reply.
Approximately 6 weeks ago I believe I may have contracted HIV. I had (protected, ie condom) sex with a prostitute in Taiwan. However, she performed oral sex on me with out a condom. Her Hiv status is unknown, however she assured me she was [HIV]negative.
Approximately 4-5 days later I started to develop symptoms which I believe to be ARS [acute retroviral syndrome]. I experienced and still experience a burning sensation in my armpits and groin. Just recently (last few days), I am experiencing a burning skin sensation all over my body at various times. However the armpit and torso burning seems to be constant. There is no evidence of a rash at this stage. I have also felt burning and sweating on my palms and soles of my feet. I also have an inconsistant dry cough, although I don't have a sore throat. A few nights ago I suffered from sweats and shaking (not sure if this is due to worry or not?)
At exposure plus 10 days I had a HIV test which has since returned a negative result. My doctor examined me and commented that my glands showed no sign of swelling and my liver was of normal size. Approximately 3 weeks after exposure and 2 weeks after onset of ARS symptoms I was examined again and there was no gland enlargement. My physican also contacted a pathologist who mentioned that anti-bodies can now be identified within 7 days of exposure.
I intend to have another test very soon, this will be greater than six weeks after exposure. Could you please advise me of the chances of returning a positive test, given that I am still experiencing what I believe to be ARS symptoms.
Kind Regards,
very worried
Ross Slotten, M.D.
Klein and Slotten Medical Associates
Private Practice in Family Medicine
With a special interest in HIV disease
It is unlikely that the symptoms you experienced 4-5 days after having oral sex with the Taiwanese prostitute are truly the acute retroviral syndrome. This syndrome generally occurs at least 2 weeks after exposure. However, it may take 3-6 months for the traditional HIV screening test to become positive. If this test is negative after 6 months, the chances of you having been exposed to HIV is minimal. Your anxiety is understandable; however, the type of sexual contact you had is less likely to result in HIV infection. Unprotected vaginal and anal sex are the most important modes of transmission.
AEGiS is a 501(c)3, not-for-profit, tax-exempt, educational corporation. AEGiS is made possible through unrestricted grants from Boehringer Ingelheim, Elton John AIDS Foundation, John M. Lloyd Foundation, Roche and Trimeris, the National Library of Medicine, Bridgestone/Firestone Charitable Trust, Bristol-Myers Squibb Company, and donations from users like you. Always watch for outdated information. This article first appeared in 2003. This material is designed to support, not replace, the relationship that exists between you and your doctor.
AEGiS presents published material, reprinted with permission and neither endorses nor opposes any material. All information contained on this website, including information relating to health conditions, products, and treatments, is for informational purposes only. It is often presented in summary or aggregate form. It is not meant to be a substitute for the advice provided by your own physician or other medical professionals. Always discuss treatment options with a doctor who specializes in treating HIV.
Copyright ©1980, 2003. AEGiS. All materials appearing on AEGiS are protected by copyright as a collective work or compilation under U.S. copyright and other laws and are the property of AEGiS, or the party credited as the provider of the content.