|2nd Minimal Reactive Test result.
Jun 18, 2010
Due to flu-like symptoms Mid-March I visited an ER. They found no viral, bacterial or other infection but the Doctor suggested I take an HIV test. I said no and left the ER. However, after more night sweats, fevers and other symptoms I decided a few weeks later (Early April) to get tested. I took an Orasure test that came back reactive which prompted the follow up Western Blot test. It came back "minimal reactive" so I had to retest in six weeks. Well, that test has also came back "minimal reactive" as well. Now, I am waiting for the results of my third test. They told me if I get the same results I might have to get a viral load test. First of all what exactly is "minimal reactive"? How does one test come back reactive and the others come back "minimal?" Does it mean I am positive or not? Is it still too early too tell? It is all so confusing and frustrating. Please help.
| Response from Dr. Frascino
Actually I'm not sure what they mean by "minimal reactive" Western Blot test. Western Blot test results are generally reported as follows:
- Negative: no bands - Positive: Reactivity to gp120/160 plus either gp41 or p24. - Indeterminate: presence of any band pattern that does not meet criteria for positive results.
I would have to assume your test was indeterminate. Indeterminate WB tests can be due to:
- The test being taken during the seroconversion reaction - Late-stage HIV/AIDS infection - Infection with O strain or HIV-2 - HIV vaccine recipients - Technical or clerical errors.
If your tests continue to be inconclusive or confusing, I would suggest you have a qualitative HIV PCR DNA test. I've written extensively about HIV testing and indeterminate results in this forum. Check the archives for additional discussion.
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