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Q: HIV and typhoid fever risk
asked by: DoctorQuestion on October 5th, 2009
I'm a bisexual male and on September 5, 2009 (Saturday), I hung out with friends and was drunk. My new friend and I (also a bisexual male) spent a wonderful night together. I had sex with him without any protection because I was really drunk.

Before we had sex I asked him if he was safe and he told me yes. But the next day (Sunday afternoon) I developed some flu-like symptoms.
After two days, I developed a cough. After eight days, I felt fine: no flu-like symptoms and no cough&slight abdominal pain.
So I went to a physician and had a check-up. She diagnosed me with typhoid fever and prescribed Ciprofloxacin 500mg BID for seven days. Now, I'm fine. No headache and not even a fever.
Now, last Sunday, I noticed that my lymph nodes on the inguinal area are starting to swell. I went to a doctor, and he said that my lymph nodes were not enlarged. HE ordered CBC, when I got the results, my hemoglobin is 130.I'm developing urticaria but I used to have allergies in the past.
Thank you.


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Dr. Kokil Mathur , MD
replied on October 12th, 2009
(online)
HIV and AIDS Answer A7510
Given the data you provided (flu-like symptoms and cough that were diagnosed as typhoid fever, started after sexual intercourse and have already stopped, no enlarged inguinal lymph nodes detected by doctor, developing urticaria), it seems likely that no medical disorder can be found, aside from urticaria.


If it was truly typhoid fever, then you have no reason to worry. Otherwise, there was a risk exposure for transmitting HIV.


You might want to take an HIV test 3 weeks after exposure and three months after exposure just to be on the safe side.




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