Dr. Sushil Kakkar
Dermatology
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Patient's Query
Hello doctor,
I had sex with my girlfriend two months back. She had two sex partners before me who were both HIV (Human Immunodeficiency Virus) negative including her. After exposure, I had a burning sensation during urinating and pain in the scrotum. I got a urine culture test the next day result (no pathogens present) but doctor prescribed Azithromycin 500, Ofloxacin 400, Norfloxacin 200, Urispas and Tolpa-D two doses every day for five days before the test result came suspecting it to be STI (Sexually transmitted infection). Lately, I developed pain in the scrotum with frequent urination and symptoms similar to HIV, got myself tested with 4th generation test 50 days after exposure. HIV 1 and 2 came back negative including VDRL - nonreactive, urine routine test are also normal. Scrotum ultrasound inferred "funiculitis". But my symptoms include mild fever, irritation in the eye, pain in the scrotum (right testicle), sore throat, mild headache. No major weight loss, rashes, diarrhea and white discharge. I am confused.
Please help.
Hello, Welcome to icliniq.com.
I have noted your concern. Your 4th generation HIV screening test is conclusive at 50 days. Therefore it rules out HIV. Perhaps you had urethritis which ascended to complicate as funiculitis. I would suggest empirical treatment for most common sexually transmitted causes of urethritis - gonorrhea and chlamydia with injection Ceftriaxone 250 mg IM single dose. In addition, I suggest oral Doxycycline 100 mg, twice daily for seven days.
Regards.
Patient's Query
Hello doctor,
After I got pain in the scrotum second time, I also included Doxycycline 100 mg for three days twice each day including the drugs from the previous course totally (3000 mg/day combining all for three days). That gave me oral thrush and ulcers inside the mouth (out of stress, and overthinking) and I stopped drugging myself. As of now nothing has changed. I still have symptoms. Should I wait for my culture test which I am going to pick up tomorrow or should I start this new drugs?
Hello,
Welcome back to icliniq.com.
Wait for the culture. If it suggests something, treatment may be started according to that. Else I suggest taking Doxycycline, twice daily for a week. In addition, I suggest you to also take injection Ceftriaxone 250 mg IM (intramuscular) single dose. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. I do not think there is any need to take Norflox and Oflox.
Regards.
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Dermatology
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