Dr. Sushil Kakkar
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 28 year old male. I had an exposure with an unknown girl 43 days ago and the condom tore when my penis was still inside her vagina. The next morning, I saw a red mark on the tip of my penis. It disappeared in three days. I do not know the HIV status of the girl. I had done HIV 1 and 2 antibody and p24 antigen test 31 days after the of exposure and the results were non-reactive. I have a low viral fever from the last five days and my WBC count was 12,500. What are the chances of being infected? Is this test conclusive after 31 days? Also, I have a stuffy nose since 20 days and a pain in my legs and foot from the past five days. There is no rash, headache or sore throat. Are these the symptoms of early HIV infection?
Hello,
Welcome to icliniq.com.
I have noted your concern.
At one month, this test is 95 % sensitive. So, it is fairly accurate at this stage. However, since a condom break amounts to unprotected sex (high-risk exposure), ideally you should follow it up by a retest at 12 weeks for an HIV antibody which is 99.9 % sensitive. That would be conclusive.
Regards.
Patient's Query
Hello doctor,
Thank you for your reply. But, the symptoms that I mentioned, are they early signs of an HIV infection? And most importantly, why is there an increase in the WBC count? In HIV, do the WBC cells increase or decrease?
Hello,
Welcome back to icliniq.com.
Flu-like symptoms are not specific to an HIV (human immunodeficiency virus) infection. They can happen otherwise as well in healthy individuals with intact immunity. Typically, in most viral infections and in acute retroviral syndrome (ARS) of early HIV infection the WBC count declines, and in particular, it is associated with a decline in CD4+ T cell count.
Regards.
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Dermatology
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