Question 1

Okay, so I recently got a tattoo on my back and ever since, I've been feeling a bit off. I'm having a fever, my neck feels really cramped, and I'm struggling with my breathing. I did get a tetanus shot last year, so I'm kind of worried and confused. Should I consider getting another tetanus vaccine, or could these symptoms be linked to something else? What do you think I should do?

Accepted Answer

It is important to ensure that your tetanus vaccination is up to date, especially if you have experienced symptoms that could be related to tetanus. Since you have received a tetanus vaccine last year, it is recommended to get a booster dose if it has been more than 5 years since your last tetanus-containing vaccine. You can get a booster dose of Tdap vaccine, which includes protection against tetanus, diphtheria, and pertussis. Please consult with your healthcare provider to confirm the timing and dosage of the vaccine based on your individual situation.

Question 2

I recently had a risky encounter with a commercial sex worker and was pretty worried about HIV exposure. I went to see a doctor right away and started a post-exposure prophylaxis treatment with tenofoviremtricitabine and raltegravir, just under 12 hours after the exposure. I just finished the 28-day course and got tested on the 29th day with a CMIA test that came back negative. Does this mean Im in the clear, or should I be concerned about anything else related to HIV?

Accepted Answer

It's reassuring that your CMIA test on Day 29 was negative, and you took PEP promptly, which greatly reduces HIV risk. However, follow-up testing at 6 weeks and 3 months post-exposure is crucial to confirm your status fully. Stay positive and consult your doctor for guidance.

Question 3

I'm feeling really anxious because even though my HIV test came back negative after two years, I'm still experiencing symptoms like oral thrush, tongue pain, itchy lips, and some rashes on my body. My lymph nodes are kind of swollen too. I had an RNA PCR test and it said target not detected, my CD4 count was 1197, and the antibody-antigen serology test was negative. I'm worried because I think I might be a late seroconverter. Should I wait a few more years and keep testing to be sure, or could there be another issue causing these symptoms? Please help. I'm really unsure if I could be negative or positive.

Accepted Answer

Negative HIV test after 2 years, but symptoms persist:
 
 *Interpretation:*
 
 1. HIV-negative status confirmed.
 2. CD4 count (1197) is normal.
 3. RNA PCR (viral load) undetectable.
 4. Antibodyantigen serology negative.
 
 *Symptoms may indicate:*
 
 1. Immune reconstitution inflammatory syndrome (IRIS)
 2. Opportunistic infections (e.g., oral thrush)
 3. Allergic reactions
 4. Other health conditions (e.g., autoimmune disorders)
 
 *Recommendations:*
 
 1. Consult an infectious disease specialist or immunologist.
 2. Rule out other infections (e.g., fungal, bacterial).
 3. Consider:
 - Antifungal treatment for oral thrush.
 - Topical creams for lip itching and rashes.
 - Pain management for tongue pain.
 4. Monitor lymph nodes and repeat testing if necessary.
 5. Address anxiety and stress through counseling or support groups.
 
 *Late seroconversion unlikely:*
 
 Given your negative HIV tests and undetectable viral load, late seroconversion is unlikely.

ideally within 24-48 hours so no need to worry

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