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Author Topic: delayed seroconversion. pls help.  (Read 393 times)

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Offline mindovermatter

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delayed seroconversion. pls help.
« on: August 01, 2014, 02:41:29 PM »
Dear All,

I was diagnosed with HCV. I have taken the 24 week peg interferon and Ribavarin treatment and I was undiagnosed at weeks 4, 12 and EOT.

I took a CBC and LFT yesterday, 1.5 months after the end of treatment and my LFT was normal.

WBC was at 7.1 while lymphocytes were at 1.9.



Now, to give a background, I had checked for Hep c after a sexual exposure with a female on 15th August, 2013.

I tested positive with Hep C on the 54th day after exposure and negative for HIV with an antibody test on the 100th day after exposure.


I also took a cd4 count on 25th day and 57th day after exposure. CD4 counts were 850 (43.2%) and 454 (42.7%) respectively.

I took a cd4 count yetserday as well(almost one year after exposure).

It was further reduced to 421 (33.4%).



Now I am extremely scared. I am wondering if I got both HEP C and possibly also HIV from the exposure.

So far, I have tested -ve for HIV on 2nd gen antibody tests.

I am also aware that HIV can cause a sharp decrease in cd4 counts.



I have also read in a number of forums that simultaneous exposure with both viruses can extend window period for development of antibodies.



My intercourse was protected. However, when when I removed the condom, some fluid could possible have stuck to my fingers. I cleaned my penis with the same hand immediately afterwards.

And, then I took water in the same hand and gargled.



I was extremely calm in the last few months. But this last cd4 count has got me worried.


[link removed by Joe K.]
« Last Edit: August 01, 2014, 02:51:32 PM by Joe K »

Offline Joe K

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Re: delayed seroconversion. pls help.
« Reply #1 on: August 01, 2014, 02:56:25 PM »
Mind,

You have reliably tested negative for HIV, so that is not your issue.  The intercourse was protected and that is not a risk for HIV infection.  You did however, contract Hep C, which can cause fluctuations in CD4 counts.  You should continue working with your doctor to treat the Hep C and any questions you have regarding any of your blood counts, should be discussed with your doctor.

Anyone who is sexually active should be having a full sexual health care check-up, including but not limited to HIV testing, at least once a year and more often if unprotected intercourse occurs.

If you aren't already having regular, routine check-ups, now is the time to start.  As long as you make sure condoms are being used for intercourse, you can fully expect your routine HIV tests to return with negative results.

Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than HIV.  Some of the other STDs can be present with no obvious symptoms, so the only way to know for sure is to test.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid HIV infection. It really is that simple!

I removed the link in your post as that information is 10 years old and does not apply to your situation.

Joe

Offline mindovermatter

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Re: delayed seroconversion. pls help.
« Reply #2 on: August 01, 2014, 03:11:19 PM »
Hi Joe,

Please have a look at this.

http://journals.lww.com/aidsonline/fulltext/2007/01110/late_hiv_seroconversion_after_non_occupational.27.aspx

Please remove this after you read this. I am not here to break your guidelines. I am just seeking answers.
 This is a case of delayed seroconversion after exposure to both viruses in 2004

I used 2nd generation rapid blood tests.
 viruses is the same.
Also, how exactly could I contract HCV from the incident if the sex was protected.
If it was not, then amn't I at risk for hiv as well because the mode of transmission of both

 It is mentioned in the report that HCV transmission through sex among
hetrosexuals is extremely rare unless the source is infected with hiv also. hiv increases the presence of hcvin sexual fluids.

My worry is that, though the sex was largely protected, but if i did contract hcv from it then, considering this report, my 2nd gen rapid tests ( and not the latest one), the fact that you agree that I contarcted hcv from this incident, my low cd4 count and common method of transmission of both viruses, am not I a candiadate for delayed seroconveriosn

Offline Joe K

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  • 31 Years Poz
Re: delayed seroconversion. pls help.
« Reply #3 on: August 01, 2014, 03:19:24 PM »
Mind,

Many STDs are much easier to contract than HIV and I can only go by your latest HIV test that was negative.  This is not something that I can give you a definitive answer on, as only your doctor can tell you what is going on with your health.  Also, I did not claim you contracted anything, I was only repeating what you told me.

Our role here is to assess any risk you may have had, which you did not, because the intercourse was protected and you have reliably tested negative.

You need to work with your doctor to get definitive answers, concerning your total health, as that is not our role here.

Joe

 


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