What are the chances of HIV based on the two negative tests?

Question

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 of 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 17 days after the last incident. Both came back negative. I tested the woman that I had protected sex with using HIV self test, 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?

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

See, a rash does not confirm the diagnosis of HIV. A rash is a very common finding in viral infections, and you could have gotten the viral infection from your partner 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 avoid unprotected sexual exposures as well as indulging with more than one partner. Every time you cannot be lucky like this time.

I hope this helps.