Persistent Fever and Cough: Possible HIV Concerns - Internal Medicine

More Info

---

When considering the possibility of HIV infection, particularly in the context of your recent sexual encounter and subsequent symptoms, it is important to analyze the situation carefully. Based on the details you've provided, let's address your questions one by one.

1. What is the likelihood of HIV infection in this scenario?
Given that you engaged in protected sex (using condoms) for the entirety of the encounter, the risk of HIV transmission is significantly reduced. However, you mentioned a brief moment of unprotected contact where there was some exposure to bodily fluids. While the risk from such exposure is generally low, it is not zero. The Centers for Disease Control and Prevention (CDC) states that HIV can be transmitted through unprotected sexual contact, especially if there are cuts or sores present. Therefore, while the risk is low, it is advisable to get tested for peace of mind.

2. Do these symptoms resemble those of HIV?
The symptoms you describe, such as fever, chills, sore throat, and fatigue, can be associated with many infections, including viral illnesses like the flu or even common colds. Acute HIV infection can present with flu-like symptoms, but these symptoms are not exclusive to HIV. The presence of a sore throat and cough, particularly if they are improving with treatment, suggests a more common respiratory infection rather than HIV. However, if you are concerned about the possibility of HIV, testing is the best way to clarify your status.

3. Is this considered persistent low-grade fever?
Persistent low-grade fever is typically defined as a temperature that remains elevated (usually above 37.5°C or 99.5°F) for an extended period, often over several days. In your case, the fluctuating temperatures you describe, which are only elevated during symptomatic periods, do not constitute a persistent fever. It seems more likely that your fever is related to the underlying respiratory infection rather than a continuous low-grade fever.

4. How is persistent low-grade fever defined?
As mentioned, persistent low-grade fever is generally characterized by a sustained elevation in body temperature. If your temperature is only elevated during symptomatic periods and returns to normal when you are feeling better, it does not meet the criteria for persistent low-grade fever. Continuous monitoring of your temperature over a 24-hour period can help clarify this.

5. Is the explanation given by the ENT doctor correct?
The ENT doctor's explanation that the virus may not have been completely eradicated and that symptoms could persist due to incomplete treatment is plausible. Infections can sometimes require a longer course of treatment to fully resolve, especially if they are caused by resistant strains of bacteria or viruses. If you are still experiencing symptoms after completing a course of antibiotics, it may be worth discussing further diagnostic testing or a different treatment approach with your healthcare provider.

In summary, while your symptoms could be concerning, they are not definitive indicators of HIV infection. The best course of action is to get tested for HIV and possibly other sexually transmitted infections (STIs) if you have concerns. Additionally, continue to monitor your symptoms and seek medical advice if they persist or worsen. Remember that early detection and treatment are crucial for managing any health concerns effectively.