Sudden Fever After High-Risk Behavior: Is It HIV? - Urology

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A sudden fever could be a symptom of various conditions, including HIV. However, it is important to consider other factors and symptoms, as fever alone is not definitive for HIV infection. If you are concerned about HIV or have been exposed to the virus, it is crucial to consult


Doctor, I had high-risk sexual intercourse with two male friends four days ago.
There was no ejaculation inside, but four days later, I suddenly developed symptoms such as fever, headache, sore throat, and runny nose.
Additionally, one of my male friends is experiencing numbness all over his body and occasional chills.
We are very concerned that we might have contracted HIV.
Doctor, do you think we have contracted HIV?

Didi, 10~19 year old female. Ask Date: 2016/01/14

Dr. Xu Weikai reply Urology


Brother: Hello, it cannot be completely ruled out.
It is recommended that all three of you visit the Infectious Disease outpatient clinic for a detailed consultation and treatment.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is important to seek medical care at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/14

More Info


It's understandable to feel anxious after engaging in high-risk sexual behavior, especially when experiencing symptoms like fever, headache, sore throat, and nasal congestion shortly afterward. However, it's important to remember that these symptoms are not definitive indicators of HIV infection.
HIV (Human Immunodeficiency Virus) can be transmitted through unprotected sexual contact, sharing needles, or from mother to child during childbirth or breastfeeding. The symptoms you are experiencing could be related to a variety of conditions, including viral infections such as the common cold or flu, which are prevalent and can cause similar symptoms.
Acute HIV infection, which occurs within 2 to 4 weeks after exposure to the virus, can present with flu-like symptoms, including fever, fatigue, sore throat, and swollen lymph nodes. However, not everyone who contracts HIV will experience these symptoms, and the presence of these symptoms does not confirm an HIV infection.
Given that you and your friends are experiencing symptoms, it is crucial to seek medical advice from a healthcare professional, preferably one specializing in infectious diseases. They can provide you with the appropriate tests to determine if you have been infected with HIV or any other sexually transmitted infections (STIs).
It's also important to consider the "window period" for HIV testing. This is the time after infection during which the virus may not be detectable in standard tests. For most HIV tests, the window period is about 2 to 4 weeks, but some tests can take up to 3 months to provide accurate results. Therefore, if you test negative shortly after exposure, it does not necessarily mean you are not infected; you may need to retest after the window period.

In the meantime, if you or your friends are experiencing severe symptoms or if your symptoms worsen, do not hesitate to seek immediate medical attention. It's better to err on the side of caution, especially when it comes to your health.

Lastly, it's essential to practice safe sex to reduce the risk of HIV and other STIs in the future. Using condoms consistently and correctly, getting tested regularly, and knowing your partner's HIV status can significantly lower your risk of infection.

In summary, while your symptoms are concerning, they are not definitive for HIV. Please consult with a healthcare provider for testing and further evaluation. They will be able to provide you with the most accurate information and support based on your specific situation.

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