HomeAnswersDermatologyhivAfter having sex with a partner, I developed red dots, fever, and muscle and joint pain. Why?

Can red spots, fever, and muscle and joint pains be due to HIV?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At September 4, 2022
Reviewed AtDecember 1, 2023

Patient's Query

Hi doctor,

I had sex with a new partner, and after five days, I noticed red dots on my arms and neck; I also had muscle and joint pain and flu. Then, after two weeks, I noticed rashes between my thighs and pubic region and lip swelling. Symptoms other than red spots and lip swelling had gone now. I had done an HIV combo test at 30 and 90 days, which were negative. Then at 40 days, I did an HIV PCR test, which was also negative. Is this conclusive? But the red dots are still there, and my wife has also started to develop them. What else should I do? Kindly help.

Hello,

Welcome to icliniq.com.

I understand your concern. It can be an allergic rash (atopic rash) with a superficial fungal infection, for which I would suggest Tablet Teczine M (Levocetirizine and Montelukast) once at night after food for seven days. Use Ketoconazole soap (KZ soap) for the bath for two months. Apply Dersil AF (Ketoconazole 2 percent) body wash 20 minutes before bath for 20 days. Tablet Diclomol (Diclofenac and Paracetamol) once daily for five days for fever and pain. Maintain proper hygiene. Practice safe sex. Avoid multiple partners. Use protection. Kindly revert for more queries. Thank you.

Patient's Query

Thank you for your reply, doctor.

Does that mean I have no HIV? Are my results conclusive? And how did my wife get the red dots? I am really scared. Kindly help.

Hi,

Welcome back to icliniq.com.

As your test reports are negative, HIV (human immunodeficiency virus) is negative. Yes, it is conclusive, as after 90 days also, it has shown negative. So no need to worry. It is a minor atopic rash with intertrigo (due to chronic friction or superficial fungal infection). Follow the medications suggested above. I would also suggest Tablet Betnesol (Betamethasone) or Prednisolone 10 mg once daily after breakfast for five days. Avoid activities that cause sweating. Wear comfortable thin cotton undergarments. Avoid friction, heat, or moisture in that area. Stay in a well-ventilated room or cool environment. Avoid triggers. Also, attach images of rashes of the wife if possible to arrive at a definitive diagnosis. Kindly revert for more queries. Thank you.

Patient's Query

Thank you for your reply, doctor.

I have attached the files. Thank you.

Hi,

Welcome back to icliniq.com.

It is an atopic rash with seborrheic dermatitis (attachment removed to protect the patient's identity). I would suggest the following. Apply Mometasone (Mometasone Furoate) cream at night or 1 percent hydrocortisone cream at night for seven days. Apply Miconazole (Miconazole nitrate) cream in the daytime for two weeks. Moisturize skin daily with a moisturizing cream for 20 days. Tablet Teczine M (Levocetirizine and Montelukast) once at night after food for seven days. Tablet Zentel (Albendazole) 400 mg only once immediately. I hope this helps. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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