Dr. Basti Bharatesh Devendra
Dermatology
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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Patient's Query
Hello doctor,
I had oral sex before months. I did the following tests.
1. HIV combo 4th generation (CMIA) during 2nd, 3rd, 4th and 5th month after exposure. All results are negative.
2. HIV combo 4th generation and ELISA during 7th month. All results are negative.
3. HIV test from ICTC center in a general medical college hospital in the ninth month with a negative result.
4. STD tests are also done.
5. HCV on ninth month by ELISA method.
Now 11 months have passed and I have lymph node under the jawline on both sides. Both lymph nodes are equal in size as that of green peas. It is moving but I do not have any pain. Is it lymph node? Do in normal body is there such type of lymph nodes present? Or is this symptom of HIV? Is this a serious condition?
I am 32 years old with good health. I have attached all my reports. Please provide information on what is my status? Should I need to test more or not? What is the size of the lymph node in the normal body under the jaw line? Some say that HIV test may take nine months in some cases, what are they? Sometimes I feel muscle pain and some mouth infection, is it a sign of HIV? As per NACO, there may be very rare chance of some persons to show positive after nine months. Who are they?
Hi,
Welcome to icliniq.com.
I have gone through the details and reports. (attachment removed to protect patient identity).
The chances of transmission of HIV by unprotected intercourse with an HIV positive person is very low (1/200 to 1/1000). If protected it is nil. Chances of transmission by oral sex are almost nil unless there are bleeding wounds in both. The risk is nil. If HIV antibodies tests are negative after three months and are repeatedly negative until nine months. It is conclusive that you are free from HIV. You can allay fears of HIV totally. There is no need for further HIV tests. Other sexually transmitted diseases (STDs) too are negative. The symptoms are nonspecific and do not suggest HIV. The lymph nodes swellings may be due to simple respiratory infection or tonsillitis. Antibodies are formed by two to six weeks latest by three months. In the very rarest of rare cases who has immunosuppressive disease it may be positive by six months. They have severe symptoms and signs of immunosuppression since childhood. You need not worry about such issues. Forget the episode and lead a normal life.
Patient's Query
Thank you doctor,
Please suggest that what size of nodes is considered normal? Is pea size node considered swollen or normal? ICTC center uses some kit name HIV combo is this reliable on ninth month? Some on internet says that after ninth month or more there are possibility to show positive. Is it true? Being young and healthy with no problem of any type, what should be the maximum time to show positive? I have a mouth infection that shows small pimples on the gums before two days with no pain. What is this?
Hi,
Welcome back to icliniq.com.
The HIV antibodies tests are conclusive after three months of exposure. You need not worry about nine months as I have explained earlier. There is no need for further HIV tests. The tests are positive by two to six weeks after exposure in healthy individuals. The tests in Government or private laboratory done by you are reliable and conclusive. Lymph node swellings need to be present in more than three locations. Pea size is quite normal in the jaw which is likely due to oral infections or tonsillitis. Oral simple mucus cysts may be the reason for oral swelling.
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Dermatology
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