What could cause a stomachache and rash after condom failure?

Question

Hello doctor,

I had sex with a female using a condom, but the condom broke. Then, after two weeks, I had a severe stomachache and body aches with fever. I took medicine, and the fever and body aches went away in two days, but the stomachache continued. On the same day, I had loose motions.

Next, I went to the hospital. The doctor told me that I had a stomach infection and gave me a painkiller injection and one for nausea. I also asked him to test me for HIV. Then I tested for HIV‑1 and HIV‑2; the results were non‑reactive at 0.5. On that same day, I got a small rash on the front of my hand and acne on my face.

Now I am okay, but the rash has been there for the last five days. Please answer this question: Is there any chance that I am HIV positive?

Before these symptoms, I ate very oily and unhygienic food outside. But new symptoms are coming day by day.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

HIV (human immunodeficiency virus) infection has a window period of one to three months during which the test results can be false negative. According to the World Health Organization, all results are considered conclusive at 12 weeks after the last exposure.

Although the symptoms you mentioned are more in favor of a bacterial stomach infection, it is advisable for you to complete your HIV testing as per protocol. The skin rash appears more like eczema and is not connected to HIV.

Please repeat the test at 12 weeks after the last exposure. Kindly upload your current report so that we know the test type and procedure used, and we can provide a better suggestion.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Thank you for following up. I have reviewed your reports (attachments removed to protect the patient's identity). The “D‑combo” test you have undergone is a dual‑combination test (D‑combo), which is a fourth‑generation HIV test and is very specific. The result is almost definitive at six weeks and is helpful for early detection. I would advise you to repeat the HIV test using enzyme‑linked immunosorbent assay (ELISA) at 12 weeks to confirm.

I hope this helps.

Kindly follow up if you have more doubts.

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern.

A sore throat and mouth ulcers can be due to the common cold, which soft drinks can exacerbate. Eczema is usually a consequence of allergic contact dermatitis, to things that you usually encounter. As 12 weeks is a very long period, you can go for the fourth-generation combination test after six weeks of the last exposure

I hope this helps.

Kindly follow up if you have more doubts.

Thank you.