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I think you must hate me by now?
Nov 27, 2008

So much has happened during the last 8 months. We have a new president woohoo. but I cant get a clear answer about my hiv status. I had 2 exposures first in march and then on sept 5th. I had fever, rash, diarrhea and vomiting sensation starting sept 16 for less than a week. I tested negative by dna PCR on sept 17th then positive by rapid test (clearview) on sept 25th thanksfully followed by a neg WB. But then again positive on another rapid test (oraquick). That was followed by ICMA through labcorp on oct 14th Another ICMA was negative on Nov 4th. Today (Nov 21st) I took another rapid test which was again positive. They took my blood sample for further testing. Additionally worrying points are my CBC counts: between august and November this year the total lymph percentage went from 29% down to 16% the neutrophils are up from 62 to75% though the CD4 count is 865 and 50.9% i am worried and I know that I am infected otherwise why would the rapid tests change, I had been getting negative rapid tests before. I dont know what to do.. Please help, is there any chance that I might be negative?

Response from Dr. Frascino

Hello,

"I think you must hate me by now?" Why would I hate you?

A reactive (positive) rapid test followed by a negative Western Blot is considered a negative HIV-screening test. Similarly, a reactive (positive) rapid test followed by a negative ICMA is considered to be a negative HIV screening. In essence, you've had essentially multiple negative HIV-screening tests! (A positive rapid test is only preliminarily positive and requires confirmation by a more accurate test before it can be considered definitively positive.) There are many potential causes for falsely positive rapid tests. I've discussed these at length in the archives. Have a look!

Stop worrying. HIV is not your problem.

Dr. Bob



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