Inconclusive antibody and low viral load
Jun 1, 2011
I am a msm, generally anally receptive. I've always had safe sex. I had my six month HIV test, got results two weeks later which came back inconclusive ELISA, PCR said RNA found and Western Blot was abnormal positive (2 bands). Went to ID doc appt two weeks later who says I was exposed within a month of the testing. He did viral load test, nothing else. CD4 = 953 and VL = 1600. "Helper cell" ratio = 1.68. I tested negative back in November. The inconclusive tests were in April. Is it correctthat my exposure was within a month of the inconclusive tests? And I had a very bad yeast infection (still raging) throughout all of this. While I'm not in denial, my immune numbers seem high and VL seems low. When should I test again to confirm my diagnosis? ID says no need for additional tests and will just do viral load in three months. Is VL confirm infection?
Response from Dr. Frascino
Without seeing the exact test results (which bands were positive on the WB, etc.), it's difficult for me to comment. If your ELISA was "inconclusive," your WB positive, and a qualitative RNA PCR also positive, the possibility of being HIV infected is quite high. However, even with very straightforward positive results, I repeat the diagnostic studies just to rule out any technical or clerical errors. I would suggest you get an HIV test (with reflex WB if the ELISA is positive) three months after your last potential exposure.
Your doctor is assuming you are in the midst of seroconversion. He may be correct. Personally I would confirm that suspicion and if found to be true, I would strongly recommend you consider beginning antiretroviral therapy immediately to preserve immune function and prevent damaging immune inflammation. If your ID doc is not an HIV specialist, consider getting a second opinion regarding diagnosis and treatment.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Hiv And Armpit Pain
- Cases Of Wife Contracting Hiv After Husband Had Visited A Prostitute
- Treatment Of Thrush Caused By Antibiotic
- Can You Get Hiv From A Doctor Not Wearing Gloves?
- Will Urine Be A Certain Color If You Have Chlamydia?
- Will Chlamydia Show Up Within 3 Weeks Unprotected Sex?
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.