HomeAnswersHIV/AIDS specialisthivAfter sex, I have lesions in the urethral opening of the penis and unusual spots in the skin. Is it due to HIV infection?

Are lesions in the penis and unusual spots in the skin after sex occur due to HIV infection?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At November 26, 2023
Reviewed AtDecember 24, 2023

Patient's Query

Hello doctor,

I had an exposure before five months, and after three weeks, some symptoms started developing in me. Some of the symptoms are lesions in the urethral opening of the penis, sore throat, back burning sensation, white tongue, burning sensation in the lower foot, unusual spots in skin, small red circular rashes in skin, penis discomfort, tingling sensation both in penis and legs, thigh and hip pain, flu-like symptoms, frequent urination, acute testes pain, body weakness, arm numbness, body aches, discomfort and pain between neck and shoulder, and lower stomach pain. I did a p24 antigen-antibody test in 44 days and 110 days of exposure, and its results were non-reactive. Again, I did an HIV (Human immunodeficiency virus) 1 DNA (Deoxyribonucleic acid) detection qualitative PCR (Polymerase chain reaction) test in four months of exposure and an HIV 2 RNA detection qualitative PCR in four months of exposure. Again, I did an HIV 1 RNA detection qualitative PCR test in 5 months of exposure, and HIV 1 viral load in five months of exposure. In all reports, the target was not detected. I did VDRL in 45 days and 112 days, and it was non-reactive. Chlamydia trachomatis IgG after 90 days is also negative. HSV 1 IgG positive and IgM negative during the peak of symptoms. HSV 2 IgG and IgM negative. Most of the symptoms have gone by themselves after a month, but still, I have a white tongue, feet burning sensation, headache, and neck pain. Am I infected with HIV, or am I free from HIV? My wife is also having the same symptoms as mine. Please kindly help me.

Answered by Dr. Rajesh Gulati

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

It does not seem to be HIV (human immunodeficiency virus). I suggest you check your urine culture and throat swab culture. Take antibiotics, anti-inflammatory, anti-fungal, and anti-allergic medications. Along with it, I suggest you take multivitamins, vitamin D, vitamin B12, and vitamin C supplements.

Hope this helps.

Kind regards.

Patient's Query

Hi doctor,

Thank you for the reply.

Yes, I have completed a 14-day Doxycycline course and took the antifungal, anti-parasite, and anti-allergic medication as per the doctor's prescription during the initial stage of my symptoms. Exactly the same symptoms developed in my wife, too, and after about a month, symptoms persisted in me. Now, it is about six months since exposure, and the symptoms still persist in me. Can HIV RT-PCR (Reverse transcription polymerase chain reaction) qualitative test give false negative results exactly in four months of exposure?

Answered by Dr. Rajesh Gulati

Hi,

Welcome back to icliniq.com.

I understand your concern.

These are reliable tests. It is unlikely to be HIV (Human immunodeficiency virus) due to low immunity. I suggest you take multivitamins, vitamin D, vitamin 12, and vitamin C supplements. I also suggest you apply the Betadine solution twice a day.

Hope this helps.

Regards.

Patient's Query

Hi doctor,

Thanks for the reply.

Sometimes, the white portion of the eye suddenly turned red. Sometimes, red stripes developed in my eyes. All of my symptoms can also be seen in my wife. In fact, her fever is more severe than mine. CBC (complete blood count), electrolyte, LFT (liver function test), KFT (kidney function test), lipid profile, and uric acid test are normal. When does a nucleic acid PCR (Polymerase chain reaction) test give a 100 % accurate result.

Answered by Dr. Rajesh Gulati

Hi,

Welcome back to icliniq.com.

I understand your query and concern.

The test is accurate and unlikely to be HIV (Human immunodeficiency virus). It seems like a viral infection due to low immunity. I suggest you take supplements, follow a healthy diet, regularly exercise, and maintain good sleep to improve your immunity.

Revert in case of more queries.

Regards.

Patient's Query

Hi doctor,

Thank you for the reply.

Sir this is my viral load report. The lower limit of detection of this test is 72 copies IU/ml. Here viral load is shown below. is it mean that less than 100 copies of HIV (Human immunodeficiency virus) are found in my blood as per this attached report?

Answered by Dr. Rajesh Gulati

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

It means HIV (Human immunodeficiency virus) is absent or too low to be detected. It does not means, less than 100 copies present. So, you can consider this negative, means HIV is absent.

Looking forward to your response in order to help you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

1. Sir, I underwent this test 6 months and 2 weeks after exposure. In the comments section, it states that HIV RNA was not detected. Additionally, one week after this viral load test, I took the P24 antigen antibody test, and the result was negative.

2. Sir, is a 6-month post-exposure period sufficient to detect the virus? Should I consider repeating the test, given that I am experiencing symptoms even though all the results have been negative?

Answered by Dr. Rajesh Gulati

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

It is confirmed negative. No need to repeat it.

Looking forward to your response in order to help you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rajesh Gulati
Dr. Rajesh Gulati

Family Physician

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