Why am I having fatigue, increased saliva and throat pain after unprotected sex?

Hi,

Welcome to icliniq.com.

First, HIV symptoms are non-specific and are common to most infections and are referred to as flu-like symptoms. HIV infection symptoms in the acute phase often go undetected and are self-healed without any active intervention due to an intact immune system. These symptoms are only effective if they occur 2 to 5 years after exposure due to a crippled immune system. So far, in your condition, these occurring infections are stress-related due to over activity of hormones (vagal stimulation) causing diarrhea, running nose, and sore throat. Mouth ulcers are moreover due to vit B complex deficiencies, dizziness can be due to a simple ear problem. So, do not worry about being infected, once the fourth generation is negative after 28 days, then nothing to worry about. You are free of infection.

Hi,

Welcome back to icliniq.com.

Delayed seroconversion is only a vague term as there is no documented evidence for the same. Most of the posted replies are a hoax and nothing in close proximity to real sense. Fourth generation and PCR are 97 % specific and 95 % sensitive. You do not need any repeat test. Chikungunya is a viral infection and any other tests pertaining to chikungunya and dengue are not accepted. I would request you to go through antigen and antibody immune complexes. Once an antigen is formed, it remains in the body and so does antibodies. That is why serological tests are a gold standard on detection. So, it is always assumed to be reactive once antibodies are formed against an antigen. There will not be any delay if the antigen is in the body. So, do not worry about the incidence.

Hi,

Welcome back to icliniq.com.

Before answering questions, I just want to say one thing, this is not the world of HIV and HIV is the only virus. Any virus infection, involving any organ in the body, can cause myalgia, easy fatigue and there are approximately 122 strains of the virus that cause a sore throat in excess to bacteria which normally colonize in the pharyngeal mucosa.

Coming to mouth ulcers, most of you are confusing with candidiasis to ulceration. Mostly we describe it as ulceration to let common people understand easily, but actually, we refer to candidiasis and candidiasis is caused by a fungus which can only infect a person with severe immune suppression as in AIDS, kidney disease, cancer, uncontrolled diabetes, etc. The only rule in medicine is, never impose every disease you read, as every disease has a common problem. That is why we diagnose and take help of investigation to confirm our diagnosis.

In your case, it is not HIV, it may be simple adenovirus infection or common cold virus causing sore throat and simple riboflavin deficiencies causing oral ulcers. So, nothing to worry. It never impart everything. It needs the experience to diagnose a thing.

Hi,

Welcome back to icliniq.com.

Coming to your question on subtypes in different countries, you need to understand basic concepts. HIV virus has M, N, O, P types of which M is major and most predominant and is the cause if pandemic (spread to other parts). M is sub-divided, or subtypes to A, B, to K of which C type is the most and constitute 80 % of infection. So, the typing of this is based on the envelope protein present on HIV virus but will not use core proteins. Envelope proteins vary and have different shades because HIV mutates on daily basis, and most of these mutations render virus inactive and not infectious but only those bring infectious rendered to be classified.

But, core proteins like p24 will remain the same. So, it is used for testing and remain a gold standard. Whether it is A or any other subtype, it can be identified with fourth generation test and you can get other tests to validate its reports. Like, western blot, it is a test that simply differentiates all protein particle and identifies them, irrespective of the subtype. which will be added benefit.

Next, NAT (nucleic acid amplification testing) test, which readily detects nucleic acids of HIV, as the genome of the virus will not change much. Or, a quantitative test like viral load counts. So, if you really feel that you are having HIV by very rare strains, and having complaints, then your body should have very high viral load because only very high viral load can give such symptoms. So, get tested with viral load. Again, if you feel wrong on viral load for very rare strain, do remember that viral load is the test of copies of viral particles, so it does not need to be specific for the virus. It just counts except HIV 2 (which will be easily identifiable in other tests). Take care.