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Can recent FLU cause false positive HIV ELISA TEST?

Resolved Question:

Dear Doctor,

I am writing regarding a possible HIV contagion.
On 4th April 2014 I experienced a risky sex situation (low risk I think): I masturbated myself in front of a girl that was doing the same (professional sex worker). There was absolutely no direct contact between our genitals. But at the end she passed me an handkerchief with her hands to clean up myself and this had a quick contact with my penis. At the moment I was not worried given there was not direct contact between genitals.

Unfortunately about 5 weeks later I experienced sore throat for 4/5 days and low fever (37.3) for a few hours one night. I connected these symptoms with the previous situation and started panicking.

At almost 6 weeks after the risky situation (symptoms were almost away) I did an ELISA combined p24 test. One day after they called me to repeat the exam, telling me that final results would have been ready one week later.

One week later they told me that my first ELISA test was a false positive (also p24 index was above normal level). In fact, after the first result, they performed:
- Western Blot: negative
- p24 antigen (with another reagent): negative
- viral load HIV1: undetectable (<40 copies/mL)
- Normal CD3, CD4 and CD8 levels

The doctor told me that my recent flu had probably influenced the ELISA.

Do you agree with him?

Many thanks for your help!


Category: Sexually Transmitted Diseases(STD)Specialist

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Category: HIV- AIDS Specialist
 23 Doctors Online

Hello. Thank you for your query at DoctorSpring.com.



I understand your concern.



If your second ELISA test was negative, yes. I do agree with your doctor. HIV testing is known to give false positive results. Since your repeat? p24 antigen and western blot are negative and viral load is undetectable, your ELISA is a false positive result.



The fever and sore throat was possibly just a mild flu and antibodies produced against the flu virus can cause false positive HIV tests.



Using a handkerchief with indirect exposure to genital secretions is highly unlikely to result in a HIV infection.



I know a false positive HIV result can be a very stressful experience but I urge you to please relax now that it has been confirmed that it is a false result.



Please avoid risky sexual practices to prevent future infections.



I hope this was helpful.



Feel free to ask queries.



Thank you.



Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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