September 30, 2021 at 3:30 pm #75038SeekingExpertiseSpectator
Dec 20: Oral sex (unprotected)
-Received 10 days of Doxycycline for testicular soreness prior to vasectomy surgery (mid December).
-Noticed two white dots on penis shaft after oral sex, no pain nor discomfort
-White dots progressed into a shiny, flat patch that was lighter in color that surrounding skin. One small bump rose on the patch.
Jan 21: Oral sex and intercourse (unprotected)
Feb 21: Intense urethra pain within two weeks after encounter.
-Tested negative for all STI/STD’s, including HSV
-No change to bump on shaft
-Genital skin was shiny, red, and painful
-Went to urgent care and received numerous antibiotics for suspected bacterial infection. Little improvement to symptoms. Unclear whether diagnosis was HSV or candida/fungal infection.
March-June 21: Treatment by PCM
-Received two additional antibiotics from urologist to treat suspected prostatitis, levofloxacin (10 days) and moxifloxacin (15 days).
-Symptoms seemed to persist at an ongoing, mild level.
July 21: Beginning of terrible symptoms
-Intense diarrhea lasting 6 weeks; body aches; painful lymph nodes in neck, armpits, and chest; muscle pain in entire leg, radiculopathy in feet and hands; headache; white tongue with painful, red lesions, electric shock, and numbness; tingling and pain in lips; genital pain in urethral meatus and surrounding skin.
-Bump on penis persisted, no ulcer, scab/peeling.
-Numerous STD tests below. ELISA did not use standard reference value metric.
3 Jul: NEG for HSV1/2 IGG on qualitative screening.
14 Jul: POS on combined HSV1/2 IGG test (LATEX method). Combined IGG 4.71.
19 Jul: NEG on type-specific IGG test (ELISA). HSV1=5.5, HSV2 = 2.8, <20 u/ml=negative.
7 Aug: NEG on type-specific IGG test (ELISA). HSV1=2.4, HSV2 = 2.2, <20 u/ml=negative.
23 Aug: NEG on qualitative screening, POS on combined HSV1/2 IGG test.
8 Sep: (Labcorp) NEG PCR/culture, POS for HSV1 (1.3 IGG), NEG for HSV2.
Q1: What do you think/recommend?
Q2: Can suppressive AV therapy affect blood tests?
October 4, 2021 at 12:13 pm #75078Terri WarrenKeymaster
Where on earth are you where they did this odd testing? Combined IgG tests? Really, in 2021?
And your July 19 results is positive for both as is your August 7th test. Not clear why you would think they are negative. BUT given all of this, you are the perfect candidate for the western blot to find out if you have HSV 1 or HSV 2 or neither or both.
Antiviral medicine can impact antibody testing, yes
October 4, 2021 at 12:57 pm #75087SeekingExpertiseSpectator
Hi, Terri! Thank you for the reply.
I am working in Qatar, and I don’t trust the tests here. Between the non-standard testing metrics and the “sexual topics are icky” culture, it’s difficult to get real answers.
I plan to take the WB when I get home in a couple of months. My symptoms have been nonstop since taking antibiotics. In your experience, are there medicine-induced skin conditions that can mimic HSV? Is it typical for HSV to cause distressing symptoms for many months straight? I’m also quite confused about the lack of ulcers. Having a defined start and end point of an outbreak would, in an odd way, provide some relief – at least I could define an outbreak. Have you seen cases like this in your practice? I’m concerned that I may be experiencing a fungal skin/oral infection due to antibiotics. Either way, it’s painful.
Hopeful for your advice. Thank you!
October 8, 2021 at 10:24 am #75120Terri WarrenKeymaster
I think it is more likely that you are experiencing something else – perhaps something bacterial or fungal. Herpes doesn’t cause something that is non-stop like you are describing here.
Now I understand why your test results are so challenging, thanks for explaining.
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