What could cause fever, sore throat, and red spots on my back and shoulder despite being HIV-negative?

Hello doctor,

Five months ago I had unprotected oral sex and protected vaginal sex with a sex worker. After six days, I got flu, sore throat, and dry cough. The fever and sore throat went away in four days, but the cough lasted for three to four weeks. I am unsure if it is from HIV or the common flu caused by the weather, but I believe it is from HIV. After a month, I began to notice skin changes, including red dots on my shoulders and back that came and went, as well as anxiety and a loss of appetite, which I believe was caused by HIV. Also, I had COVID-19 three weeks ago, and it is no longer available. I started having joint and lower back pain, which I believe is caused by HIV. I am aware that I am infected. I did not have sex with my wife in three months. After three months, I had a normal relationship with my wife, and she developed a mouth ulcer and angular cheilitis. I did a laboratory test for her, and she had iron deficiency anemia and low vitamin B12. I convinced myself that the ulcers were caused by vitamin deficiency. Please find my attached laboratory results:

1. HIV combo after one month is negative.
2. HIV 1 RNA PCR test after 1 month not detected.
3. HIV combo after two months nonreactive.
4. HIV 2 DNA RNA PCR after 75 days was not detected.
5. HIV 1 RNA PCR after three months was not detected.
6. HIV combo is after three months non-reactive.
7. HIV combo after four months non-reactive.
8. HIV ELISA was after five months negative with an index of 0.06.

Please explain why my body is not secreting HIV antibodies despite being a healthy person who does not take medications. I have itchiness on my tongue at times, and it is sometimes white. I went to the dentist, and he told me it is not thrush or candida. Can you explain why is this happening? My wife had no fever, cough, or sore throat, but I noticed red dots on her back and her body was itching a lot. Is it possible that I am not infected? What viruses other than HIV cause flu? I did not have lymphadenopathy when I got the flu. Also, one month after her exposure, I called the sex worker and did an antibody test for her, which came back negative.

Kindly help.

Hello doctor,

Thank you for your reply.

There are no exposures other than the one prior to five months. So, why did I get the flu right after having sex? Could I rely on this HIV antibody test taken after five months? I will repeat it in one month for a total of six months, but can I trust that a five-month antibody test can rule out HIV?

Hello doctor,

I had unprotected sexual oral intercourse with a sex worker six months ago. Since then I had 1 episode of diarrhea after 1 week and I lost 3 kilograms then I gained 10 kg also I am having folliculitis on my chest arms legs since then. I did the following tests:

1. HIV combo after 3, 4, 5, and 6 months all are negative.
2. PCR HIV 1 and PCR HIV 2 after 2 months and after 5 months were all not detected.

My concern is that I did a CD4 or CD8 ratio test and the result is 0.89 below 1 kindly check the report. My question is why it is below 1. I think it is due to HIV infection but why my body is not making antibodies? Do I need more HIV tests?

Hello doctor,

Kindly check the report I shared it. The last time I took it was the CD4 blood test in the afternoon.

Kindly help.