Infected after protected hand & boob-job!
Aug 10, 2010
Dear Dr.Bob; First of all, i'd like to thank you for your invaluable support in providng information and care to those in dire need. I am a regular reader and I apologise for the long description but i hope you can help me with your expertise.
I am K, a married 28 year old south-asian male.
If you can, please include this post in the questions asked section because this should be a very rare case of HIV acquisition i belive, in your opinion. I am so convinced i have acquired the infection (due to very early actual symptoms) that i am no longer worried about "might be or might not be" infected.
4 days ago, i engaged in protected "hand-job" with a hotel prostitute of unknown status. This proceeded to a "boob-job". She used a lubricant which could be anyhing. The total activity lasting for no more than 10 minutes. I did not ejaculate nor was there any anal/vaginal or oral penetration. She did "kiss" the tip of the penis over the condom a couple of times and also rubbed her hand over her vagina and then rubbed it over my already slightly inflamed scrotal skin. She may or may not have been menstruating.
Please note that i have a pre-existing unknown chronic viral infection that has lead to a chronic inflammation of my mucosal membranes. (this may have aided my infection)
Moving on, I have had an elevated metabolic rate (avg bpm 90-100) since the day after the activity, my normal resting rate is 60-70bpm. I am right now having off and on, pain in various lymph nodes in my body. Neck/armpit/groin. And i have started to have intermittent fatigue, hot flashes, night sweat on one ocassion and am unable to fall asleep due to my elevated metabolic rate, probably caused so early in the HIV incubation stage due to my pre-existing unknown infection. I feel a general strong irritating discomfort within my body and my arms/legs are somewhat swollen.
There is no doubt i in my mind i have acquired HIV. Because i feel deathly discomfort and illness.
You might say i am at no risk and the symptoms are too early, but an already supressed or activated immune system can cause early symptoms or incubation symptoms right?, and i have no way of knowing if the condom failed or not. Also i shall prove the risk factors wrong by getting tested after my seroconversion illness which i can truly feel "is in the post" due to my constantly elevated non-stress related metabolic rate as confirmed by a doctor, and my thymus/lymph node intermittent pain.
Again i thank you for your work doctor bob. i can feel how difficult it is living with the disease and managing all these tasks. I myself feel like quitting my job after the extreme fatigue i have been having since 4 days.
Please let me know how in your opinion i should proceed, should i get tested? Could i have been infected with something other than HIV as it is definitely some pathogen, i feel so ill overall that i know a seroconversion illness is just around the corner! Should i refrain from unprotected sexual relations with my wife in the mean time as we were trying to have a child? I have already levelled with her but she is unsure what to do. The consequences can be devestating. I need your kind assitance dr.bob. and if possible please let me know how i can reach you by phone or personal e-mail?
Thanks and regards K.
Response from Dr. Frascino
Even though you are "so convinced" that you acquired HIV from a protected hand-job and boob-job with a hotel prostitute, I'm quite certain you did not! Despite your "pre-existing unknown chronic viral infection," "elevated metabolic rate," and other symptoms, your HIV-acquisition risk was nonexistent and consequently you could not have HIV. Your problem is most likely related to anxiety and guilt. We have an entire chapter of situations similar to yours in the archives devoted to anxious folks who are 100% convinced they have acquired HIV. Check it out! Also, I should point out none of these folks actually turned out to be HIV infected!!! None!
I would advise that you do not quit your job. Your fatigue is most likely related to depression, anxiety and guilt. I suggest you level with your wife. It's not only the best way to confront your guilt; it's also the right thing to do. I also suggest you consult a psychiatrist to help you cope with your anxiety and depression. Although HIV testing is not medically warranted for such a non-risk, a single three-month HIV-antibody test might be helpful psychologically. The results will undoubtedly be negative. Write back with your definitive negative HIV test results and I'll include your follow-up post in our archives to help others in similar situations. Phone or personal e-mail contact is not warranted (or available). I am an HIV specialist and you do not have HIV. I am not a psychiatrist and that is the physician specialist you do need.
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