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sinusitis and hiv

Nov 23, 2005

I tested negative for hiv at the 4.5 month mark in september. When I went to my doctor for the second hiv test on friday, he took a look at my throat and asked me if i snored. I said no and he prescribed me with a new one dose antibiotic taken orally called Zmax. Zmax is indicated for acute bacterial sinusitis in mild to moderately sever cases. I have had pretty bad sinus infecions for the last couple months with non stop mucus. Now this didnt really bother me until I found this.

"Sinusitis occurs more often in people who have reduced immune function (such as those with primary immune deficiency diseases or HIV infection) and with abnormality of mucus secretion or mucus movement (such as those with cystic fibrosis)."

Do you think my 4.5 month negative test was conclusive, or does this sinusitis tell me my recent test will come back positive. Note that I'm a pretty heavy smoker.

Response from Dr. Frascino


Heavy smoking is much more intimately linked with sinusitis (and bronchitis and pneumonia and cancer) than is HIV. Your 4.5-month negative HIV test is definitive. At the present time your health risk is smoking, not HIV. The moral of the story: stop smoking, stop testing, stop worrying.

Happy Thanksgiving.

Dr. Bob

Dr . Bob - you are the best!
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