Can fungal infection after sex increase the risk of HIV?

Question

Hello doctor,

I had a protected sexual encounter with a CSW (Community Sex Worker) The very next day I found little white non-raised 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 underwent 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 was 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 and 99.4 degrees Celsius (208 and 210 degrees Fahrenheit) on a normal day, and also I have felt numbness in both knees. The uric acid is 8, and although the WBC (white blood cell) 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 (complete blood count) reports. I need your opinion on my case.

Kindly advise.

Answer 1

Hello, Welcome to icliniq.com.

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 you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.