I have done HIV RNA and 4th generation tests and are negative. Do I still have HIV risk?

Q. My HIV RNA and fourth generation tests are negative. What is the chance of turning positive?

Answered by
Dr. Anshul Varshney
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 14, 2020 and last reviewed on: Feb 17, 2020

Hi doctor,

About a month ago, I had protected sex with a woman and unprotected oral sex with her as well. Then two days after that I had unprotected oral sex and fingered a different woman. Five days later, I got a low fever of about 99 degrees. The following day I got chills, night sweats, joint pain, and a bad fever about 102 degrees that broke that same night. The next day, I got a rash that covered my entire stomach, chest, arms and legs. I went to the hospital and they told me they thought it was a viral rash. The rash went away in about 24 hours. I got an HIV RNA and fourth generation test done ten days after the last incident and then I got another HIV RNA and fourth generation test done again at 17 days from the last incident. Both came back negative. I tested the woman that I had protected sex with using Oraquick and she came back negative, but I did not test the woman that I had unprotected oral sex with.

Could this still be HIV? I have never gotten a rash like that before in my life. What are the chances that this could be HIV based on the two negative RNA tests?



Welcome to icliniq.com.

See, a rash does not confirm the diagnosis of HIV. A rash is a very common finding in viral Infection and you could have got the viral infection from your partners only. Luckily this time the virus was not HIV.

The fourth generation PCR tests are highly sensitive and hence you do not require any further evaluation. I would hereby conclude based on the details that you do not have HIV. I would also recommend you to avoid unprotected sexual exposures as well as to indulge with more than one partner. Every time you cannot be lucky like this time.

I hope this helps.

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