|Indeterminate HIV test (different than the others, I think)
Aug 13, 2009
Hi Doc -
Last sex: 28 June First HIV test post-this: 21 July, roughly a month later; Oraquick (finger stick) - results non-reactive Second HIV test: 31 July. I wasn't being paranoid; my doc just did regular bloodwork and the HIV test is now opt-out, so it was already done.
Results: HIV test - ELISA repeatedly reactive, WB is indeterminate (only p24 showing). She told me I am "probably positive" (which I think was inappropriate for her to say, given what I've read about this lately)
Third HIV test: Just done yesterday. She's also doing a Cd4 and Viral load. Results won't be back for 2 weeks.
I think I've come to terms with her telling me I am "probably positive" even though I am extremely low risk (I've had sex with only one partner for a year). I'm just wondering, given that I've read a p24 is the only band, and that about 50% of people seroconvert in about 2-4 weeks, what my chances are.
Other data: the thing that got her (also) worried was a high liver function test (ten times the number of what it was 2 years ago). So she took hepatitis tests (I've been vaccinated for B and C previously; I got my most recent/last B series in Feb/March).
I'm also concerned that it could be syphilis (which would cause a p24 band alone and high liver functioning).
I am not freaking out, and I know you cannot tell me "it definitely isn't HIV" or "it probably is syphilis", but one article I read quoting Dr. Gallo (co-founder of HIV) said presence of only p24 is not necessarily a cause for panic.
But she told me I "probably" have HIV.
Sort of Calm
| Response from Dr. Frascino
Hello Sort of Calm,
If you've had essentially no HIV exposures, your chance of being HIV positive are remote at best.
As for syphilis, a simple screening test can give you a definitive answer.
I can't diagnose the cause of your liver enzyme elevation over the Internet; this is something your doctor will need to further evaluate.
Advising you that you are "probably positive" was premature to say the least.
Although I don't agree with getting CD4 counts yet, your follow-up lab work should provide you with a definitive answer one way or the other regarding your HIV serostatus.
Stay calm (or at least "sort of calm").
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