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acute syndrom (going crazy)
Jan 13, 2003

Dear David, 8 weeks ago I had (vaginal) sex with a girl I know very well. We had unprotected sex for 4/5 minutes. She is very low-risk, and so am I. But later she confessed that 9 years ago she was raped by a classmate in a party (she was 17 then). She never did an HIV test (she doesn't want to do it), she never showed any sinthoms. I know about the ARS. A week after I started having some night sweats and very light waist pain (though I must say I was extremely stessed). I also had some light sore throat, I went to 3 doctors, they all said my throat looked perfect. I did NOT showed any of these: fever, swollen lymph glands, rash, nausea, diarrea, headache. I also did blood counts at weeks 4,5 and 7, always: red cells OK, Leucocyths 7500/7800, lymphocits 28/32, no trombocitopenia (plaquets 220.000), Erithrosed 2/4 mm per hour. I did an ecography: spleen and liver both OK. I am very nervous. honestly, would you consider this as a possible acute syndrome, despite no fever, swollen glands and perfect blood count? Thanks a lot, Esteban.

Response from Dr. Wohl

Esteban, you are probably not experiencing acute HIV infection. My diagnosis is acute guilt syndrome (AGS).

If you need more convincing, go and get an HIV antibody test in 3 months. If it is negative you are fine. I mean it. If your test is negative in 3 months you are NOT HIV infected. DW



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