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HIV high risk exposure
Aug 31, 2011

In late January had unprotected anal sex with a transgender escort in which the condom broke found out is HIV and hsv 2 positive. I took HIV antibody test at 3 months, 4 months and 6 months all negative results. also paid for a western blot thinking it was a test that detects the virus at 5 1/2months negative results. Had early infection symptoms and now half rash on face and small red bumps on chest legs and arms. I tested positive for Herpes 2 . THREE QUESTIONS PLEASE HELP !!!! 1. Can herpes 2 cause symptoms such as night sweats, swollen lymph nodes etc. 2.When should i retest since the person is positive had sex with ??? 3. Other than western blot being a confirmatory test what do it look for specifically ?

Response from Dr. McGowan

Yes, herpes simplex can cause swollen glands (very common) and, during the initial infection, can cause fevers and painful ulcers. The Western blot is a more Specific test for HIV infection. Some people test positive on the screening Elisa test but negative on the Western blot, that is because it is easier to have a "false positive" Elisa than a Western blot. We usually do not run the Western blot unless the screenig Elisa is positive because there would be no hint that infection needed to be confirmed. If you have had a negative HIV test 6 months after your sexual contact there is no need to do any further testing. Joe



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