Does Acute HIV Infection symptoms last this long?

Question

First off I was told I was HIV positive 2 weeks ago, and now waiting for all the baseline test you recommend to come back to find out "the details" of my infection. TB did already come back neg. Doc said I had Acute HIV Infection.

My question is, how long are these symptoms I been having now since the end of June going to last? I thought I had the Flu at first. Went to my GP, tested neg for Flu. Fever ran 102+ for 4 days. After a visit to emergency room, temp went back down. They gave me lots of Tylenol and Ibuprofen.

So now, 8 weeks later, if I don't take 800mg of Ibuprophen 3 times a day my temp goes at least up to 100+, and I feel hot, burning eyes, fatigued, and sick. Sleeping is a problem as well. I started taking Ambien, but it will only give me about 3-4 hours of good sleep a night.

Answer

Hello,

The symptoms associated with HIV acute retroviral syndrome (ARS) following primary infection generally occur two to three weeks after initial infection and persist for an additional two to three weeks. However, please note the symptoms associated with ARS are quite variable in nature and severity from case to case. Your HIV specialist should perform a thorough evaluation to ascertain the cause of your persistent symptoms.

Good luck.

Dr. Bob

My first doctor visit after testing positive Aug 1, 2009

I tested positive 2 weeks ago and have an apt. with my internist coming up. Likely infected 12/08. From what I observed in his waiting room on past visits I doubt his patient demographics include many HIV+ folks. What do I want to make sure he tests for other than CD4 count/ratio and viral load? I'm guessing after the initial blood work I will find an HIV specilaist but I want to make sure we expedite things so the specialist has all appropriate info to form a management plan. Thanks so much.

Response from Dr. Frascino

Hi,

I would recommend the following baseline tests:

  1. Complete blood count (CBC)

  2. Comprehensive chemistry panel

  3. Hepatitis screening for A, B and C

  4. STD screening (syphilis, gonorrhea, chlamydia, etc.)

  5. Tuberculosis skin test

  6. Toxoplasma IgG antibody

  7. Pap smear for women

  8. Fasting glucose and lipid panel

  9. T-cell subsets (CD4, CD4%, CD8, CD4:CD8 ratio)

  10. HIV plasma viral load (PCR)

  11. Resistance test : genotype.

Your HIV specialist will then do supplemental testing as indicated.

Good luck!

Dr. Bob