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HIV |
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From:
Sent: Monday, February 07,
2005 5:42 PM
To: drgian@stdweb.com
Subject: STD Co-infection
Dr gain, Is it possible , when having a co-infection.. Chlamydia and
HIV, that Chlamydia can cause a false negative Elisa? I had contact in
97, an Elisa in 2000, the doctor discovered Chlamydia, and the Elisa was
negative.. but I am not totally confident that the HIV was negative.. I
have recently showed signs.. severe weight loss, diarrhea, night sweats,
neuropathy, ( worse at night) white hairy tongue(not thrush), sore
back, , I retook the HIV1/2 was negative..I am HLB 26/27 gene positive,
Reiter’s syndrome, do I need to see mental professional?
Hi,
Reiter
syndrome is triggered not only by a urethritis due to
Chlamydia and/or
Gonococcus but also by more common enteric (intestinal) infections.
Reiter syndrome is associated with human leukocyte antigen (HLA)–B27,
although HLA-B27 is not always present in an affected individual,
particularly in the presence of HIV.
So the presence in you of this gene and the negative HIV antibodies test
are already two elements in your favor. You may want to consider taking
also a viral load PCR test for HIV. I have not seen reports of false
negative HIV Elisa’s in the presence of Chlamydia infections. I don’t
know about seeing a mental professional but I known that it is always
good to talk to a committed listener. So start talking to your Doctor.
Wish you well.
Dr. Gian |
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From:
Sent: Thursday, January 06,
2005 10:52 PM
To: dr.gian@stdweb.com
Subject: Hi
Dear Dr. Gian,
On January 27, 1987 I have undergone surgery, I had tubal
pregnancy and had to go for the surgery as soon as possible because I
was bleeding internally. As a result of the bleeding, I had blood
transfusion. I am a bit concern, I guess about it until now. I took
term life insurance for my self, the first one was 2 years ago and
another term life insurance last year. The very first test that I was
required to fulfill is the HIV test (ELISA) both are negative results.
My first HIV test was done when I was pregnant with the youngest child
who is now 9 years old. The test was offered by the doctor and I took
it, and it was also negative. For some reason, I am still concern. In
the back of my mind, would it be possible that I may get HIV positive in
the later years? I don't know, I guess just a crazy thought that I have
in my mind. I would really appreciate any opinion from you. Thank you
so much.
L
Hi Liz,
With the two negative HIV antibodies tests taken within that significant
time interval from the blood transfusion I would feel confident to close
the HIV issue. However if it gives you peace of mind you can retest one
more time and move on. And, if you decide to retest, you may want to
consider to test also for Hepatitis C antibodies.
Be well.
Dr. Gian
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From
Sent: Monday, October 04, 2004 10:08 AM
To: drgian@stdweb.com
Subject: Advice needed
Dear Dr Gian
On the 6th August
2004 I had unprotected sex. I then had the Elisa test on th 17th August
which was negative. On the 6th September 2004 I had a PCR which also
came back negative. Then I had another PCR on the 26th September -
which also came back negative. Does this mean I am ok? I have spoken
to about 5 different councilors and they think I am being nuerotic but I
need to know how accurate the PCR tests are. Is it possible that 2 PCR
could be wrong?
Please help.
Hi,
I am assuming you
are referring to HIV testing. The negative results of the two PCR tests
are reassuring. The Elisa was too close to the day of exposure. However
to be sure I would take another Elisa test at the end of the year and,
if negative, close the case for HIV.
However, I do agree
with the impression of your counselors on the anxiety detected in you.
See if that sense of anxiety may be at the base of your risky sexual
behavior. If so, work on it and use the opportunity to learn about
yourself. You are doing the right thing and getting tested rather that
simply worrying. PCR’s are highly sensitive and specific but are not
FDA approved for diagnosing HIV infections and are usually used to
follow the course of therapy in people who are infected with HIV.
Hope this helps.
Thanks for your
contribution to our mail.
Dr. Gian
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