Dear Ask The Doctor: I know you cannot give an actual diagnosis, but I only ask for your feedback. I am married now and I have been for 3 years. In 2007 to late 2008, I never always used condoms, and I slept around with a few men. I am male, 24 now, and since I tested for HIV 2 times. Once was in Sept. 2007 and the other was in March 2008. Both results were negative. Today, every once and again I find things that don't always seem common. I have these strange, boil-like bumps that develop on my inner thighs (where the scrotum touches the thigh by the crease) and now I have developed a small, non-itchy rash on my outer thigh. It is tender to the touch, and has a small raised surface. It is only in one spot. Over the course of two years, once and again I feel like my personality has changed. I also get sharp pains in the back of my head in the spot above my ears. Three months ago, I began to develop palpitations. They only seem to happen when I lay down on my back. It feels like a "flip-flop" in my chest, and twice I have been woken up by my heart racing, without cause. No bad dreams even. Once and again, I have what seems to be swollen lymph nodes. They are weird, and located directly underneath my earlobe. They feel like a marble almost, and one of them stays swollen for months. The funny part is, they are only tender, but not very painful. These are the symptoms I am getting now. I do get a fever once and again, but it could just be heat because sometimes I sleep with double blankets. I do not know. Based on the information I have provided you with, what can you tell me based on your opinions? PS The pictures I am sending you is the small, itch-free rash that just developed on my outer right thigh. The other picture is a picture of the boil-like sores I develop on my inner thighs by the crease.
Dear Gregory: In the past you were engaged in high risk sexual behaviors: Unprotected sex with an unknown HIV status person sex worker. If you have unprotected casual sex with any individual with an unknown or positive HIV status, you have chance to getting infected with HIV. Roughly one-third of new HIV diagnoses appear to be related to heterosexual transmission. Male-to-male sexual contact still accounts for nearly half of new diagnoses and intravenous drug use make the remaining of the cases. Nevertheless, you stated that you used condoms and your tests came out negative, then it is not likely that the lesions that you showed in the pictures may be due to HIV infection but I strongly recommend you to get tested for other STD that may produce those symptoms that you described.