Q. Temperature fluctuations after having sex with a CSW. Am I HIV positive?

Answered by
Dr. Ravinder K. Sachdeva
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 11, 2017 and last reviewed on: Sep 21, 2022

Hello doctor,

I had a protected sexual encounter with a CSW. The very next day I found little white nonraised dots on the head of my penis. The dermatologist told me that it was a fungal infection and prescribed Ketoconazole cream and Fluconazole tablet. However, I have undergone an HIV antibodies test 10 days later, and was non-reactive. In between, the fungal infection got completely eradicated in two to three weeks. I have been recently diagnosed with diabetes two to three months ago. Two months after the sexual encounter, once again I underwent an HIV screening test, i.e., an antibodies test. Once again it came as negative. As of now, I do not find any abnormalities in the functioning of the body but I have observed that my body temperature fluctuates between 98 to 99.4 degrees Celsius on a normal day, and also I have felt numbness in both knees. The uric acid is 8 and although the WBC count is 13 with normal differential counting, I do not find any difficulty in swallowing food nor do I have swollen lymph nodes. The lymphocyte count is 26 from the latest CBC reports. I need your opinion on my case.



Welcome to

Firstly, if the condom had been used consistently and correctly and it did not break or slip off then the chances of acquisition of HIV (human immunodeficiency virus) or any other STI (sexually transmitted infections) is nonexistent. Another reassuring point is that your preliminary test results are negative. The recommendations are to get tested by fourth generation HIV rapid test at four weeks and if the result is negative get a confirmatory HIV antibody test three months from the last unprotected exposure.

Fungal infections are usually more associated with uncontrolled blood sugar levels, which you had been recently diagnosed with. Numbness could be again associated with the same. Having malaise or mild fever could be due to various reasons. Your uric acid seems normal.

I suggest you get a confirmatory HIV antibody test within three months of the last exposure.

I hope your query is answered.

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