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IS PERSISTENT ORAL THRUSH AN HIV SYMPTOM

Question: 

I had unprotected virginal sex with a CSW. But i took pep for 28 days. I started PEP within 72hours. I had the following tests which came back negative.

HIV Duo at 14 weeks post pep.
Hiv rapid ingure prick abtibody test and hepatis A,B and C antigen and antibody test at 4months post PEP.
Hiv rapid fingure prick antibody test at 6 months 1 day post pep.

The problem is that i have been having persistent oral thrush. Am i negative or can i wait and do another hiv test to confirm my status?

Please your response will be highly appreciated

Answer: 

Hi there,

Thank you for your inquiry. From what we gather from the information, you were asking about the conclusiveness of your finger prick antibody test at 6 months and 1 day post PEP.

Rapid Testing has an extremely high accuracy rate, and rarely provides false negatives. Due to the previous test results you have also received, which came back negative. It is safe to say you are well past the re-testing recommendation guideline date of 12 weeks post-exposure.

Persistent oral thrush is considered to be one of the many symptoms of acute HIV infection. However, symptoms associated with HIV do not provide an accurate presentation of the presence of HIV. HIV status can only be confirmed by accurate and reliable screening, which it appears you have had.

In this case, you can consider your results reliable.

If you continue to engage in high risk activity, you may consider other biomedical options for protection against HIV like PrEP (Pre-Exposure Prophylaxis).

Recommendation: No need for additional HIV testing for this exposure, please refer to a physician for other health related questions.

All the best,

AIDS Vancouver Online/Helpline, Cody