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Is a 12-week CMIA conclusive for HIV with an enlarged node?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

After my risky exposure with CSW (community sex worker), day 10th HIV(human immunodeficiency virus) RNA (ribonucleic acid) PCR (polymerase chain reaction) with TaqMan method and four weeks and 12 weeks CMIA (chemiluminescent microparticle immuno assay) test at laboratory, all are non-reactive but symptoms appear after six weeks. And still a node exists that has been enlarged in front of the ear for three months, with no change and no pain.

Only one symptom, please clarify if the node related to ARS (acute retroviral syndrome). Have my tests been concluded? I have read that a one-month window period is used for ruling out HIV. Is it true? ARS symptom lymph node exists for how many days?

Please help.
Answered by Dr. Shah Sushma Kant

Education:

MBBS

Professional Bio:

Dr. Shah Sushma Kant is an experienced HIV/AIDS Physician with extensive expertise in managing HIV, AIDS, and related complications, as well as diabetes care. She provides comprehensive patient management, including counseling, treatment planning, and monitoring, to ensure optimal long-term health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome to icliniq.com.

You have undergone a lot of tests and have all turned negative, so you cannot be labeled as HIV (human immunodeficiency virus) positive. If the lymph node is big enough, consult a general surgeon for FNAC (fine needle aspiration cytology) and histopathological examination will give a clear picture about what it is. So, you can be treated.

Till then, you can take tablet Signoflam three times a day after food for five days, and tablet Augmentin 625 three times a day after food for five days. It may reduce or vanish. Sometimes, it is idiopathic, so it remains dormant, but you can go for the removal of the lymph node.

I hope this helps.

Thank you.

Medically reviewed by Dr. Divya Banu M
Published At July 14, 2019
Reviewed At May 5, 2026

Education:

MBBS

Professional Bio:

Dr. Shah Sushma Kant is an experienced HIV/AIDS Physician with extensive expertise in managing HIV, AIDS, and related complications, as well as diabetes care. She provides comprehensive patient management, including counseling, treatment planning, and monitoring, to ensure optimal long-term health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

Dr. Shah Sushma Kant
Dr. Shah Sushma Kant

HIV/AIDS specialist

Education:

MBBS

Professional Bio:

Dr. Shah Sushma Kant is an experienced HIV/AIDS Physician with extensive expertise in managing HIV, AIDS, and related complications, as well as diabetes care. She provides comprehensive patient management, including counseling, treatment planning, and monitoring, to ensure optimal long-term health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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