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Hello Doctor Exposure Was On 30/8 /18 Vaginal Fluid On
Question: Hello doctor
Exposure was on 30/8 /18 vaginal fluid on tip of penis after fingering in gap of 8-10 sec
Hiv duo test at 27 day negative of mine
Cbc on 23 day wbc 9000
Neutrophil 6900
Lymphocytes 1800
Cbc on 19 day wbc 7800
Neutrophils 5800
Lymp 1600
Even the girl tested negative on duo test after on 7 day of my exposure with normal cbc
3 day before my exposure with my friend she had sex with guy unprotected later he tested positive after 1 week
Here is my question
1) will wbc go up or down in acute hiv
2) do i need to worry for hiv
3) protected sex only finger transmission of fluid
Exposure was on 30/8 /18 vaginal fluid on tip of penis after fingering in gap of 8-10 sec
Hiv duo test at 27 day negative of mine
Cbc on 23 day wbc 9000
Neutrophil 6900
Lymphocytes 1800
Cbc on 19 day wbc 7800
Neutrophils 5800
Lymp 1600
Even the girl tested negative on duo test after on 7 day of my exposure with normal cbc
3 day before my exposure with my friend she had sex with guy unprotected later he tested positive after 1 week
Here is my question
1) will wbc go up or down in acute hiv
2) do i need to worry for hiv
3) protected sex only finger transmission of fluid
Brief Answer:
You are free from HIV 1 infection as per your report.
Detailed Answer:
Hi,
Welcome to HCM
Thanks for posting your query.
Fingering carries a negligible risk of HIV transmission as per CDC, XXXXXXX USA. Even the act contaminated your penis with vaginal fluid the risk, the HIV risk is still negligible only as long as there was no abrasion either in your finger or penile skin.
CBC values would not be of much help in diagnosing or valuing the prognosis. It would support other findings, that is all.
Your non reactive HIV DUO test 27 days ruled out HIV 1 infection. DUO test consists of two components:
1.Detection of P24 antigen which would detect the HIV 1 infection as early as 7 days and became conclusive by 3-4 weeks.
2. Detection of antibodies against HIV 1 and 2, which will become sensitive after 6-8 (window period) weeks and become conclusive by 12 weeks. This test is highly reliable to the extent of 99% after 12 weeks.
Throughout the world except in certain XXXXXXX countries the incidence of HIV 2 is less than 1%.
In XXXXXXX it is less than 0.5%. So nothing to worry. You are almost free from HIV infection. Nothing to worry.
Dr S.Murugan
You are free from HIV 1 infection as per your report.
Detailed Answer:
Hi,
Welcome to HCM
Thanks for posting your query.
Fingering carries a negligible risk of HIV transmission as per CDC, XXXXXXX USA. Even the act contaminated your penis with vaginal fluid the risk, the HIV risk is still negligible only as long as there was no abrasion either in your finger or penile skin.
CBC values would not be of much help in diagnosing or valuing the prognosis. It would support other findings, that is all.
Your non reactive HIV DUO test 27 days ruled out HIV 1 infection. DUO test consists of two components:
1.Detection of P24 antigen which would detect the HIV 1 infection as early as 7 days and became conclusive by 3-4 weeks.
2. Detection of antibodies against HIV 1 and 2, which will become sensitive after 6-8 (window period) weeks and become conclusive by 12 weeks. This test is highly reliable to the extent of 99% after 12 weeks.
Throughout the world except in certain XXXXXXX countries the incidence of HIV 2 is less than 1%.
In XXXXXXX it is less than 0.5%. So nothing to worry. You are almost free from HIV infection. Nothing to worry.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Raju A.T
Dear sir,
Will the wbc low in the acute infection
As per your experience what happens to wbc and neutrophils and lymphocytes
Will the wbc low in the acute infection
As per your experience what happens to wbc and neutrophils and lymphocytes
Dear sir,
Pls upadte what happens to wbc neutrophils and lymphocytes as per your experience in acute hiv case
Pls suggest will it be high or low
Will wbc increase after production of antibodies
Pls upadte what happens to wbc neutrophils and lymphocytes as per your experience in acute hiv case
Pls suggest will it be high or low
Will wbc increase after production of antibodies
Brief Answer:
WBC total count/differential counts were not reliable in acute infection.
Detailed Answer:
Hi,
Welcome back.
To say frankly, I am yet to see anybody with acute infection in HIV disease. Almost all my cases seen during my 33 years of experience with HIV infection were either diagnosed or referred to me with advanced stage along with symptoms and few cases were spouses of the HIV positive individuals without any symptoms and definitely not with acute infection. As per text books also Acute HIV infection can be diagnosed with molecular HIV tests only and not with either CBS or total WBC count or Neutrophill count.
In Other HIV patients WBC total count varies widely according to symptoms or associated infection.
Dr S.Murugan
WBC total count/differential counts were not reliable in acute infection.
Detailed Answer:
Hi,
Welcome back.
To say frankly, I am yet to see anybody with acute infection in HIV disease. Almost all my cases seen during my 33 years of experience with HIV infection were either diagnosed or referred to me with advanced stage along with symptoms and few cases were spouses of the HIV positive individuals without any symptoms and definitely not with acute infection. As per text books also Acute HIV infection can be diagnosed with molecular HIV tests only and not with either CBS or total WBC count or Neutrophill count.
In Other HIV patients WBC total count varies widely according to symptoms or associated infection.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
In many case presentation it is show wbc will be low or in the lower side
Brief Answer:
Wide range of WBC count within normal range has no significance
Detailed Answer:
Hi,
Welcome back.
True, with many instances. Not always. Moreover this low WBC count can be taken as a supportive finding and not an ultimate one.
Total WBC count has a wide normal range from 4000-11000 cells per ml. So the lowest WBC count within this range can happen in many situations and cannot be taken as a normal. Only when the count went below 4000 has significance.
Dr S Murugan
Wide range of WBC count within normal range has no significance
Detailed Answer:
Hi,
Welcome back.
True, with many instances. Not always. Moreover this low WBC count can be taken as a supportive finding and not an ultimate one.
Total WBC count has a wide normal range from 4000-11000 cells per ml. So the lowest WBC count within this range can happen in many situations and cannot be taken as a normal. Only when the count went below 4000 has significance.
Dr S Murugan
Above answer was peer-reviewed by :
Dr. Raju A.T
Dear sir,
Means wbc wont rise in acute infection if it rise means body has antibodies we can say and lymphocytes will also increase with production of antibody
My wbc was 7800 on day 19 and wbc on day 23 was 9000
Means wbc wont rise in acute infection if it rise means body has antibodies we can say and lymphocytes will also increase with production of antibody
My wbc was 7800 on day 19 and wbc on day 23 was 9000
Brief Answer:
Not to give importance to WBC count
Detailed Answer:
Hi,
Welcome back.
WBC count can vary and is not of much value here. There will not be a constant WBC Count, associated conditions and infections will have their influence on it.
Dr S Murugan
Not to give importance to WBC count
Detailed Answer:
Hi,
Welcome back.
WBC count can vary and is not of much value here. There will not be a constant WBC Count, associated conditions and infections will have their influence on it.
Dr S Murugan
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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