What is the accuracy of HIV CMIA on 26th day post exposure?

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HIV (human immunodeficiency virus) test taken on the 26th day of post-exposure is quite assuring but a confirmatory HIV antibody test is required to be taken at three months of last exposure. You do not have any specific symptoms to diagnose HIV. Your present symptoms can occur due to various reasons and it does not mean HIV. Do some tests for diagnosing sexually transmitted infections such as HBsAg (hepatitis B virus antigen), anti-HCV (hepatitis C virus), VDRL (venereal disease research laboratory), gonorrhea, herpes simplex 1 and 2. Try to do tests to know your vitamin D3 and vitamin B12 levels. Revert with your reports.

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It is good to know that you do not have a fever. It gives you assurance for having a negative HIV result taken at 26 days. A confirmatory test should be taken at three months. Revert with remaining STI reports.

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I am not able to open your attached reports.

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It is not clear.

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I am not able to see your reports.

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I have gone through the reports (attachment removed to protect patient identity). Your vitamin D level is low and herpes IgG is positive. Please mention whether you have any genital lesions.

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I am not able to see your reports.

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You seem to be exposed to the herpes virus in the past. If you have any active genital or oral lesions due to herpes virus, then it has to be treated.

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You have low vitamin D levels. Take Calcirol sachet once a month with milk. You have a positive result for IgG herpes. All the other results are negative. Your picture is not clear. It likely presents folliculitis. Maintain your hygiene and apply Neosporin ointment locally. For confirming HIV, it is necessary to do tests after three months of exposure to get a confirmative result.

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Even after getting a negative result in RNA PCR, you need to do a confirmatory HIV antibody test after three months.

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1) Your test report, post three months of exposure, dated 4/7/2020 is negative. If there is no more exposure, other than you mentioned, no further test is required for HIV. 2) Herpes zoster can occur in any individual even without HIV. It is a viral illness and occurs more in this season. You can send picture of lesion, as I can recommend you treatment. Moreover, for herpes zoster, treatment needs to be initiated and completed earliest possible, so as to prevent post herpes complications. Best wishes!

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1) Your test result of HIV is conclusively negative, if there is no further exposure. Recommendations are to get 3 MTHS test and if the result is negative and there is no further exposure, no more test for HIV is required.2) No doubt, herpes zoster is seen in HIV, but as I mentioned earlier it is also seen commonly in normal non HIV individuals. There are multiple reasons for zoster to occur of which stress is the main reason or there can be an association of fever.3) Your lesions at back is suggestive of herpes zoster. You would have been prescribed antiviral and pain killer. You can take that, or I have mentioned below the treatment. You can follow any one treatment plan.

1) Tab Valcivir 1g 8 hly (thrice daily) for 5 days. 2) Tab Dolo -650 1 Tab 8 hly for 3 days. I suggest you to take plenty of fluids along with. This means minimum 12- 14 glass of water in a day. Antiviral need to be taken for complete 5 days. There can be post treatment completion pain for which if it is there, you can discuss further. Best wishes!