HIV and Syphilis: Symptoms, Risks, and Concerns

Q: HIV and Syphilis: Symptoms, Risks, and Concerns

Dear readers： <br>1. <br>Regarding the body temperature sometimes remaining above 36.6°C and below 37.2°C around 11 PM to midnight or even later, could this be caused by an acute infection? <br>A： Generally, healthy individuals have a lower body temperature in the early morning a

Regarding HIV and syphilis infections?

Hello, I would like to ask a few questions regarding HIV/AIDS.
The situation is as follows: I work in the service industry and have noticed some customers with unexplained red spots and rashes on their arms and calves, raising concerns about sexually transmitted infections.
1.
I have been experiencing a body temperature that sometimes remains above 36.6°C and below 37.2°C, even as late as 11 PM to midnight or later.
Could this be indicative of an acute infection?
2.
Recently, I have been feeling unusually fatigued, and I have developed what appears to be acne-like lesions on my face, as well as symptoms resembling folliculitis on my scalp.
I am unsure if this is related to my exposure to these customers.
3.
Assuming that HIV and syphilis require direct transmission through the blood or bodily fluids of an infected person, does this mean that skin and mucous membranes could also pose a certain risk of infection?
I am quite concerned as I have been experiencing multiple health issues, including a cold and sudden throat discomfort and inflammation, which have significantly impacted my quality of life.

WANG, 20~29 year old female. Ask Date: 2016/04/29

Dr. Liao Zhongxin reply Internal Medicine

Dear readers:
1.
Regarding the body temperature sometimes remaining above 36.6°C and below 37.2°C around 11 PM to midnight or even later, could this be caused by an acute infection?
A: Generally, healthy individuals have a lower body temperature in the early morning and the highest temperature around 5 PM.
If measuring axillary temperature, a normal range is below 37.3°C.
2.
Concerning the recent feelings of fatigue, sudden appearance of acne-like lesions on the face, and symptoms resembling folliculitis on the scalp, could this be related to contact?
A: It is indeed related to contact.
It may be caused by self-inflicted injuries from hands or nails.
Therefore, it is important to practice good contact isolation and personal health management, which includes washing hands (with soap) and drying them thoroughly before interacting with each new client.
3.
Assuming that HIV and syphilis require direct transmission through the patient's blood or bodily fluids, does this mean that skin and mucous membranes could also pose a certain risk of infection?
A: The transmission of HIV and syphilis primarily occurs through three routes: intimate and unprotected sexual intercourse, sharing needles or diluents among drug users, and from an infected mother to her child during pregnancy.
Other routes of transmission are less likely.
If you still have questions, you may consult a nearby medical facility for advice and testing.

Thank you!

Reply Date: 2016/04/29

More Info

When it comes to understanding HIV (Human Immunodeficiency Virus) and syphilis, it's crucial to recognize the symptoms, risks, and concerns associated with these infections. Based on your situation and the questions you've raised, let's delve into each aspect.

1. Symptoms of Acute HIV Infection: Acute HIV infection typically occurs within 2 to 4 weeks after exposure to the virus. During this period, individuals may experience flu-like symptoms, which can include fever, fatigue, sore throat, and swollen lymph nodes. Your report of a body temperature consistently above 36.6°C but below 37.2°C does not necessarily indicate an acute HIV infection, as this range is generally considered normal. However, if you experience a sudden spike in fever or other flu-like symptoms, it could warrant further investigation.

2. Fatigue and Skin Issues: Feeling fatigued and noticing skin changes, such as acne-like lesions or folliculitis, can be concerning. While these symptoms can be associated with various conditions, including stress, hormonal changes, or infections, they are not specific indicators of HIV or syphilis. It's essential to consider other factors, such as recent lifestyle changes, stress levels, or other health conditions that might contribute to these symptoms. If these symptoms persist or worsen, it would be advisable to consult a healthcare professional for a thorough evaluation.

3. Transmission Risks: Both HIV and syphilis are primarily transmitted through direct contact with infected bodily fluids, including blood, semen, vaginal fluids, and breast milk. Skin-to-skin contact can also pose a risk, particularly if there are open sores or lesions present. The mucous membranes found in the genital area, rectum, and mouth are particularly susceptible to infection. Therefore, if you have had any contact with an individual who is known to be infected, it is essential to consider the potential risk of transmission.

4. Concerns about Skin Contact: You mentioned observing red spots or rashes on a customer. While it is understandable to be concerned about potential exposure to sexually transmitted infections (STIs), it is important to note that not all skin conditions are indicative of STIs. Many skin issues can arise from non-infectious causes, such as allergies, irritations, or other dermatological conditions. If you are worried about potential exposure, it is advisable to practice good hygiene and avoid direct contact with any lesions or rashes.

5. General Recommendations: Given your symptoms and concerns, it would be prudent to seek medical advice. A healthcare provider can perform appropriate tests, including HIV and syphilis screenings, to determine your status. Testing is particularly important if you have engaged in any high-risk behaviors or have concerns about potential exposure. Additionally, maintaining open communication with your healthcare provider about your symptoms and concerns can help guide appropriate care and treatment.

In conclusion, while your symptoms may raise concerns about HIV or syphilis, it is essential to approach the situation with a comprehensive understanding of the risks and symptoms associated with these infections. Consulting a healthcare professional for testing and evaluation will provide clarity and peace of mind. Remember, early detection and treatment are crucial in managing any potential infections effectively.

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