Doctors, Hello, to be brief, I am a medical intern in Ohio. 28 yr old male, athletic build with a history of 3 sexual female partners. I am aware of recommendations around HIV testing, however, have peculiar symptoms that I have been experiencing. To be brief, I had a one time unprotected encounter of vaginal and oral intercourse with a female during my undergraduate years. 2 weeks later, I had a erythematous rash "(non-vesicular) under the meatus and extreme pain after/during ejaculation with delayed ejaculation (This almost looked like yeast, eventually crusting over not scab, Negative Herpes select blood test). On the third weeks I had a mono/strep like illness that was negative for both. The sore throat lasted nearly 2 months and eventually developed secondary laryngitis.
I had a negative quantitative viral load 10 weeks past this. I have had several negative HIV antibody tests as well out to a year.
4 years after this I developed neuropathy, prickling / electric feeling in my feet. I had 2 negative DNA PCR-1 qualitative HIV tests via Lab Corp.
this is now 7.5 years past this exposure and I have been battling a remittent case of Oral Thrush since October. To date I have had 4 courses of oral Nystatin, Clomitrazole Troches ,and 3 weeks of Fluconazole . Each time I finish the treatment, the oral thrush comes back on the later aspect of my tongue. It is very localized and only one spot. However, I have burning on the tongue and roof of mouth. I am at a loss and an infectious disease doctor has been no help other then saying he refuses to believe this is HIV related. When this occurred in October I was on a 5 day course of Penicillin VK 500mg QID for wisdom tooth extraction.
Lastly, I most recently took a HIV Qualitative RNA PCR that was NEG
and a 4th Generation Duo test w/Rflx that was also NOT-Detected.
Do I need to be concerned with HIV subtype? Can you please provide me with recommendations?
I do not think you are HIV+. The pictures do not look like the thrush we see in HIV+ persons. As you know, there is a strong mind-body connection and it is possible much of what you are feeling is related to your concern about being infected.
I bet if you got a CD4 cell count it would be normal. This would make peripheral neuropathy and thrush from AIDS basically impossible.
Once you put the HIV aside, you can tackle alternative organic and/or psychological etiologies.