Is white tongue and fever a sign of HIV after oral sex?

Question

Hello doctor,

I am a man, and about four weeks ago, I engaged in receptive oral sex with another man whose sexual history I was unfamiliar with. He did not ejaculate in my mouth, but he did ejaculate later, and I came into contact with it using my hand. I am not aware of any cuts on my hand, so my primary concern is the risk of contracting HIV from receptive oral sex.

I have read that this carries a low risk, but recently, I have been running a low-grade fever of 99.4 degrees Fahrenheit for the past five days. Additionally, I have noticed a white coating on my tongue and some white lesions on it. I have not experienced a rash or muscle aches, but I feel tired and generally unwell.

I received a positive result for strep throat on a quick culture test despite not having a sore throat. I wonder if there could be other explanations for these symptoms besides HIV. I have also taken a blood test for RNA early detection of HIV and a standard blood HIV test.

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

The probability of HIV (human immunodeficiency virus) transmission through unprotected oral sex is almost negligible unless both individuals have bleeding wounds. It is improbable, as such wounds would likely have been noticeable. Please wait for the results of the RNA (ribonucleic acid) PCR (polymerase chain reaction) and antibody tests. Both tests are expected to yield negative results. The HIV 1 and 2 RNA PCR is a highly sensitive test and can provide reliable results as early as 12 to 14 days after exposure. For conclusive results, you can undergo HIV antibody tests after waiting for three months. The symptoms you are experiencing are nonspecific and are more likely attributed to a streptococcal infection or a respiratory infection.

I hope this helps.

For further inquiries, feel free to consult me at icliniq.com.

Thank you.