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Can HIV symptoms last even after negative tests?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had a protected sexual intercourse with an unknown person last month. After about ten days, I experienced throat pain and noticed one swollen lymph node. I visited a doctor and underwent HIV and throat culture tests. The doctor diagnosed it as a bacterial infection. Despite this, I remained worried, so after three weeks, on the 23rd day, I underwent an HIV fourth-generation test and RNA PCR, and they were all negative. However, even after four weeks, there is still some swelling in my lymph node, and I have been experiencing a lot of boils on the back of my head and neck. Should I get tested again?

Hello,

Welcome to icliniq.com.

I can understand your concern.

The chances of HIV (human immunodeficiency virus) tests coming positive later with the given test results and dates are almost nil. However, it is better to go for an HIV antibody test after 90 days post-exposure to relieve anxiety completely and obtain conclusive results. The symptoms are nonspecific and may not necessarily be due to HIV; they could be related to any respiratory infection (possibly bacterial). Please consult your physician for the infection and management of other changes in blood (such as cholesterol, liver enzymes, vitamin B12 deficiency, and more).

I hope this helps.

You can always come back and reach me at icliniq.com.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

The doctor on the 12th day after the encounter had given me Azithromycin (macrolide antibiotic) for two days, then had asked to start Ciprofloxacin 500 mg and Pan D (a combination of Pantoprazole and Domperidone) for the bacterial infection. Are my liver enzymes affected because of that, or should I get them checked?

Hi,

Welcome back to icliniq.com.

It is unlikely to be related to these. Some are minor changes. Some changes may need some treatment. Please consult your physician for examination, evaluation, and management.

I hope this has helped you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At May 14, 2024
Reviewed AtDecember 29, 2025

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