|ANTIBODY TEST CAN BE AFECTED
Aug 3, 1999
DEAR DOCTOR,FIRST I WANT YOU TO CONGRATULATE YOU FOR YOUR GRAT LABOR AND THE HELP YOU GAVE TO PEOPLE LIKE ME. NOW LET ME MAKE SOMO O HISTORY, I AM A MEXICAN MALE 35 YEARS OLD, SINCE I WAS A CHILD I (1 YEAR OLD)I WAS DIAGNOSE WITH GEOGRAPHIC TONGUE. LATER DURING CHILHOOD UNTIL NOW I HAVE BEEN SUFERING WITH APHTAS OR SORES IN LIPS AND IN THE EARLY YEARS SPECIALLY IN MOUTH, I KNOW THAT THIS IS MAY BE BUCAL HERPES OR SOME OTHER VIRUS AND IT HAS NOT BEEN A GREAT PROBLEM BUT I HAVE STARTED ABOUT TWO MONTHS AGO A HOMEOPATIC TEATMENT (UNKNOWN FORMULA) AND IT WORKS WELL. BY THE OTHER HAND, I HAD A RISK ENCOUNTER WITH A GIRL, SHE TOOK MY PENIS AND PUT IT ISIDE HER VAGINA FOR SOME SECONDS MAYBE 5 (WITH OUT PROTECTION) AND THEN SHE PERFORMED ME SOME ORAL AND MAINLY HAND JOB.EXACTLEY 28 DAYS LATER I TESTED NEGATIVE IN A QUANTITATIVE PCR VL TEST WITH <400 COPIES PER ML. AS YOU TOLD ME AT THIS TIME THE TEST IS ABOUT 98% ACCURATE AND YOU RECOMEND ANTIBODY FOLLOW UP. BY TODAY IT IS 6.5 MONTHS FROM THE RISKY BEHAIVOR AND MY QUESTIONS ARE. 1.- CAN ORAL OR BUCAL HERPES VIRUS OR SOME OTHER THAT HAS BEEN CAUSING ME MY ORAL PROBLEM FOR ALL OF MY LIFE AFFECT THE ELISA RESULT WITH A FALSE POSITIVE OR FALSE NEGATIVE? 2.- DO I NEED TO LEFT HOMEOPATIC TREATMENT TO HAVE AN ACCURATE ELISA AND FOR HOW LONG PERIOD? 3.- HOW MANY CASES YOU KNOW OF PEPLE SEROCONVERTED AFTER HAVING 28 DAY PCR VL NEG? 4.- HOW WOULD YOU CUALIFY MY RISKY BEHAVIOR, HIGH MODERATE OR LOW? BY THE WAY THIS HAS BEEN MY ONLY SEXUAL RISK ACTIVITY IN 17 YEARS AND I HAVE NEVER HAD A STD.SO FELT REAL GOOD WITH MY PCR TEST, BUT WHEN YOU SUGGEST A FOLLOW UP WITH ELISA THEN I STARTED TO GET WORRY AND SCARED FOR THE NEW TEST AND THE POSIBILITY OF LATE SEROCONVERTION, PLEASE GIVE ME YOUR POIN OF VIEW AND THANKS FOR YOU TIME AND KEEP THE GOOK WORK.
| Response from Dr. Holodniy
1. Unlikely 2. NO 3. Personally none. 4. Moderately high MH
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