|pep, lymph nodes
Oct 22, 2005
Hi Dr Conway,
I would be grateful if I could have your advice on this. I took PEP (started after 12 hrs) for about a fortnight after unprotected sex with a lady whom I lost track of. It's about 5 weeks after the exposure now and the glands in my neck are swollen up. they are slightly enlarged, soft, ache constantly and I have jaw ache and headache. I have sore throat since 2 weeks. The GP had a look and said that I have pharyngitis. There is no fever, no rash, no involvement of lymph node of any other part of the body. I have a tooth abscess that was treated with amoxicillin for 7 days ( finished 2 days ago). Please tell me
1. does every case of ARS have fever?
2. does involvement of one group of glands only i.e around jaw and neck rule out ARS? I mean is the gland involvement in ARS essentially generalised?
3. What test is best to have now for detection? should I wait for 6 months?
4. Is it so serious that I should visit a HIV consultant i.e is any kind of treatment indicated at this point of time if what i am having is ARS?
I live in a country where HIV consultants are rare. Your advice would help me decide what to do next. Thanks a lot.
Response from Dr. Conway
Not all cases of acute retroviral syndrome have fever or generalized lymphadenopathy. At this stage, if you are concerned, I would get a regular HIV antibody test (it may be positive at this stage) as well as a CD4 count and either HIV viral load or DNA PCR. It is likely that you do not have HIV, but your symptoms are suggestive enough that I would go ahead and do the testing to make sure.
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.