|AIDS & HEP C NEEDLESTICK
Dec 3, 2004
Dear Doctors, I am a nurse who got stuck with a 25 gauge buterfly needle from a patient with Aids and Hepatitis C. The patient expired a month latter after the incident. At three weeks I tested negative for both deseases. Eight hours after the incident I took the first dose of profilaxis. I did not take Crixivan every eight hours, but twice a day and stopped almost at three weeks because it made me very sick. But I continued with Combivir and stopped taking it at almost four weeks. It has been almost five weeks after the incident. Now, I am experiencing muscle pains in my arms, and mostly shoulders. I have read that muscle pains might be present during the seroconversion period. I never experienced them before. I also read that chances of getting the viruses seems to be low. Basing on the information I provided, do you think I might be seroconverting? I am having muscle pains and that drives even more crazy. Please help!!!
| Response from Dr. Henry
Some patients can get muscle irritation from the AZT component of Combivir so that should be checked. Muscle pains are not a common characteristic of HIV seroconversion though they are experienced by some. Your odds are still very good that you are not infected but close follow-up is advised. If you are very worried then you might discuss whether you should get a HIV RNA level (interpreted by an expert) to help sort out. KH
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