Can HIV symptoms appear despite a negative test?

Question

Hello doctor,

I performed receptive fellatio on a guy 55 days back. I took an RNA PCR (ribonucleic acid polymerase chain reaction) test after 11 days and then again at 35 days, and both were negative. I also took a fourth-generation combo test (antibody and p24) on the 38th day, and it was negative as well. The problem is, for the last 8-10 days I have had diarrhea. It was not frequent, but the stool is loose and watery. I also have a white tongue. In the last three to four days, I have developed an ulcer inside my mouth, which is slightly painful.

For the past 10 days, I have been feeling tired and weak and sometimes getting a temperature of 99 to 99.3 degrees. Since I have tested negative for all these HIV (human immunodeficiency virus) tests, I cannot understand if I could still have HIV. The net has conflicting information. I also feel I have a slightly sore throat. I also have a pimple breakout on my nose and under my eye. I am really scared and terrified. Please help. I am attaching the pictures of my tongue.

Is it candidiasis? Or is it just a white tongue? Are the tests I have taken conclusive for HIV being negative?

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

Yes, Candidiasis is there.

But it is usually the late manifestation of human immunodeficiency virus (HIV). Since all your tests are negative, consider yourself as negative unless proved otherwise. All other things can also happen without HIV.

Go for an HIV test one more time, as according to guidelines, two negative tests from different laboratories should be considered negative after possible exposure and at a gap of at least two weeks. The test of choice is human immunodeficiency virus reverse transcriptase and polymerase chain reaction (HIV RT PCR) and HIV-1 and 2 antibody ELISA (enzyme-linked immunosorbent assay).

Please take the following medications with the consent of your doctor. Tablet AF (Apo-Flucanazole) 150, one tablet daily for a week. Tablet Norflox TZ (combination of Norfloxacin and Tinidazole) one tablet twice daily for five days. Do gargles with lukewarm water.