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Q: HIV and fungal tongue infections
asked by: DoctorQuestion on August 14th, 2009
hello dr. plese may u answer me
i developed series symptoms after receiving oral sex from a whman seems to be hiv
1-penis discharge (diagnose prostatitis nonbacterial came after 1 week and still 4 months also a got antibiotic (cipro) and didn't go),
2-serious lips kancer sores in the lips insaide the uper and lower lips(came after 2 weeks and stay 2 months),
3-oral thrush with whait tongue(stay 4 months until now didn't go even i get tretment by antifangi i think it is OHL becous it didn't go and my tongue has white patches and hairy)
4- back bain,Constipation
my wife has vaginal bleeding , and back pain
i tested for chlamydia syphilis gonorrhea semen culture all NEG i have gote hiv test at 3,6,9,13,16 weeks both (antibody 3rd gen) and (4th gen combo antibody antigen)all NEG also RNA PCR at 13 weeks came <20 undeteted
is it possible to be inficted by HIV and after 3 months the viral loud RNA become undetectd??are the antibody and RNA after 3 mouth all NEG is difintive?


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Dr. Andrijana Shterjovska , MD
replied on August 21st, 2009
HIV and AIDS Answer A7093


Given the data you provided (oral intercourse with HIV positive woman, penis discharge, sores on the inside of the lips, white, hairy tongue resembling thrush, negative tests for Chlamydia, Syphilis, and Gonorrhea, negative tests for HIV (both antibodies and PCR RNA), you might be experiencing a fungal tongue infection.


HIV infection is highly unlikely given the results of the tests you reported. The results of the HIV antibody tests might be negative after three months if the person had previously taken antiviral medications. However, the negative PCR RNA is very accurate and it is highly unlikely that the viral load is undetectable after 3 months of possible infection. The fungal infection might be accompanied with either bacterial or viral infection of the mouth mucosa.


It is unlikely that these infections are caused by decreased immunity due to HIV infection, which in most cases takes 10-15 years after exposure to occur.


You might want to talk to a specialist for infective diseases about your results and whether you need an additional examination.




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