I believe that you are the only one who can help me i sent you before, but i have some updates for my case.
I am a male ,29 years old , From Egypt where the population is 90,000,000 , and only 3,000 HIV cases ( in my country even famous doctors don't know a lot about HIV ) ( we don't have any rapid tests at all in all the country )
My risk was : unprotected vaginal sex with sex worker for 1 time at Dubai with ejaculation inside end of November 2013 . I called the girl asked her if she have HIV she answered that she isn't but when I asked her if she tested before , she told me that she never tested before for HIV. (i can't believe that she isn't an HIV case)
After 4 weeks :i had a Sore throat for 8 days,
after 7 weeks : mild night sweat every night , loss appetite , loss weight till now( 9 kg about 10 % of my all weight). After 10 weeks : a flue for only 3 days with a fever of 38
after 12 weeks : diarrhea for no reasons (9 days and then went for 3 days and came back for 3 days) and 3 small red dots in each hand for 2 weeks.
Tests did with result : ( I went to lab near to my home ,I don't know if they use ELIZA technology regarding the HIV tests or not and for sure not the 4th generation tests and not the 3rd generation may be they use another type of tests ... i am trying with the nurse to know the name of the test she don't know and i also tried with customer services they don't know . all they tell me : HIV antibody (aides test)
How in 2014 a big lab in the middle East they don't know the test name ?!!
The lab customer services told me also they use ELISA for virus C & B.
In this lab they take a blood sample from my arm in the morning and I receive the result report same day at afternoon .
Can you suggest which test is that ??
11 weeks : Hiv antibody ( non reactive 0.12)
82 days : HIV antibody ( non reactive 0.11)
85 days : HIV antibody ( non reactive 0.24)
90 days : HIV antibody ( non reactive )
94 days : HIV antibody ( non reactive )
at 3 months :I decided to go to a doctor (not HIV doctor as in my country it is very difficult to meet HIV doctor ),to check o myself to know what is the cause of my symptoms, he asked me to do some tests :
RPR : Negative
Herpes simplex virus type 1 Igm : Negative
Herpes simplex virus type 1 IgG: POSITIVE
Herpes simplex virus type 1 Igm : Negative
Herpes simplex virus type 1 IgG: Negative
Hepatitis B surface antigen : Negative
Hepatitis C virus antibody (3rd generation) : Negative
Urine analysis : Normal
Stool Examination : Normal
SGPT (ALT) : 16 ( normal range )
SGOT (AST) : 12 ( normal range )
TSH : 1.09 ( normal range )
ESR: first hour 8 , second hour 20
Fasting plasma Glucose : 95 ( normal range )
Glycosylated Haemoglobin ( HbA1c ): 5.4 ( normal range )
LDH : 143 ( normal range )
C-reactive Protein (CRP) titre : 0.6 ( normal range )
Complete blood picture : Hemoglobin: 14.9 Haematocrit(pcv) 42.5 RBCs count 5.47 MCV : L 77.7 MCH : 27.2 MCHC : 35.1 RDW-CV: 12.0 PLAtelet count : 370 Total LEUCOCYTIC COunt : 4.3
Differential leucocytic count: Neutrophils: 35.7 % 1.69 Lymphocytes : 48.1 % 2.28 Monocytes : 10.1 % 0.48 Eosinophils : 5.7% 0.27 Basophils: 0.4% 0.02 **** ( comment: RBCs show mild microcytosis .Relative LYmphocytosis. Relative Monocytosis. Absolute Neutropenia)
Te doctor told me that i am fine and my symptoms may be related to ANXIETY or any kind of bacteria, and i turned off this page and removed it from head.
But after another 5 weeks ( after 4 month from my risk ) I started to feel another symptoms and I still have them all till now :
1-Mild Sore throat , never went till now
2-I feel pain in my neck ,
3- Rash in my front head, never went till now
4-swollen lymph nodes around my neck and my mouth
i went to another doctor who ask me for the following tests and CT for neck and chest:
Epstain barr virus antibody toviral capsid antigen ( VCA-IgM ) : negative
ANA by Elisa : Negative
Serum calcium : 9.7 ( normal range )
Serum LDH : L 116
C-reactive Protein ( Quantitative ) : 0.3 ( normal range )
Complete blood Picture : Normal blood picture
ESR: first hour 8 , second hour 18
TSH: 1.20 ( normal range )
Free T3 : 3.1 ( normal range )
Free T4 : 1.4 ( normal range )
Chest CT comment : Normal CT scan of the chest.
Neck CT comment : MULTIPLE BILATERAL MILDY ENLARGED UPPER AND LOWER DEEP CERVICAL LYMPH NODES , THE LARGEST NOT EXCEEDING 1.8 CM IN ITS MAXIMUM DIAMETER. NO MATRIX CALCIFICATIONS OR AREAS OF BREAKING DOWN.
When I went back to the doctor he told me that I am very good but he gave me antibiotic for 5 days I finished the antibiotic from 3 weeks and without any progress
Swollen lymph nodes, Sore throat, the rash in my front head, for almost 1 month and half
2 small ulcers in my tongue + very dry lips from 3 days
I found another lab where they have HIV ag/ab test by CMIA but they asking for full details and a copy from the ID. I went there once and I will not go again as if I tested positive they will report the result for the ministry of health , and they will but me in an HIV Hospital for rest of my live.
I did there the test :
At 20 weeks from my risk: Hiv Ag/Ab. by CMIA : Negative
at 21 weeks : HIV antibody ( non reactive ) ( in the first lab)
week 23 : HIV antibody ( Non reactive) ( in the first lab)
My question :
1.does my symptoms at 4 months from my risk is related to HIV ? Can HIV symptoms appear after 4 months and half from the risk action ?
2.Should i retest again until 26 weeks ?
3.if they are related when I will test positive after them ?
4.Does my lymph nodes , the sore throat, and ulcers in my tongue mean that my body is trying to produce antibodies ? as the doctors didn't find a reasons regarding them.
5.Do you think that I am an HIV? and i need more tests ?
6. Can I be one of those very rare case which take 6 months or more to starting producing antibodies ?
I know that in 3 months window period is conclusive but i found a lot of cases which tested positive after the 3 months which make me confused i dont know how you said that you never saw a case who tested negative at 3 months and then tested positive ??? . and i have an inside feeling telling me that I am infected and there is something wrong with my lab result, I feel myself not normal. And no one can tell me my symptoms reasons
Please keep in mind that before this situation I never went to a doctor or did any blood test and was rarely get sick.
Sorry for my long question I tried to explain each details as much as I can, but please have a look for all my case , and try to response to my question in details as much as u can ,and I need to get back to my normal life.
Thank you for choosing the AIDS Vancouver Helpline as your source of information. In regards to your symptoms, there are actually no clinical symptoms associate with HIV, meaning that that there no consistent symptoms observed amongst people who are diagnosed with HIV.
The antibody tests that you have done are likely to have been the EIA Antibody 3rd Generation Test. With that being said, there is no absolute way of me knowing which test they did. As you mentioned, there are several available forms of tests available.
The World Health Organization guidelines consider all testing to be conclusive at 84 days (3 months). If the tests you have done at 3 months or after are non-reactive or negative, then it is conclusive that you are HIV negative. Thus, there is no need for you to get retested, if no other risky activities took place. If you had had the HIV virus existed in your system, the tests would have picked up on that.
In Health, Moe- AIDS Vancouver Helpline Volunteer.