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HIV "positive," but not - Lyme disease

Jan 5, 2014

Good day Dr. Holodniy,

I was considered HIV positive for weeks after an initial and then confirmatory HIV test. My tester feared I had advanced stage HIV because of my chronic fatigue, headaches, and swollen lymph nodes and he gave me a referral to an internist. When I saw the id specialist she checked for viral load, she found nothing. She even repeated the HIV test and I tested positive. She said this had happened once before and used ELISA to discover that I actually have Lyme disease!

I'm pretty confused here, and I'd like your advice. Why would I test positive so many times on HIV antibody tests but not actually have HIV? Do Lyme disease antibodies mimic HIV antibodies or related in structure? Have you seen this before in patients?

Response from Dr. Holodniy

An HIV DNA test would be helpful here.

Your bow tie and my labs
Can sepsis cause viral load spike?

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