How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 42787
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

My partners dad was diagnosed with hiv 5.5years ago. 2 years

Customer Question

My partners dad was diagnosed with hiv 5.5years ago. 2 years ago he was tested for syphalis (via a blood test) which came back negative. within the last 6 months he's had numerous strokes, and just this week he has had a lumber puncture done, which has confirmed he has neuro syphalis . The question is, should this lumber puncture have been carried out at the time he was tested positive for hiv? Which could have spared him months of strokes, where now he can't speak or move? I'm concerned now, as since I have read up on it, they say people who are tested positive for hiv are most likely to have had syphalis first, which makes it 5 times more likely to contract the HIV virus. We can't understand why this has taken so long.
Submitted: 9 months ago.
Category: Medical
Expert:  Dr. David replied 9 months ago.
This is Dr. Davidhis test for syphilis test was negative 2 years ago.if that test was positive, he should have had more syphilis testing back then.that is too bad his test 2 years ago was negative. that might have been a false result.I am sorry about your partners father.let me know if you have other questions.
Customer: replied 9 months ago.
Thanks, ***** ***** he was tested postive for hiv, would they not have automatically tested for syphalis then? The doctors say he has probably has the virus 10-20 years.
Customer: replied 9 months ago.
The doctor told us today, that the test taken two years ago was probably a false one. . I'm just confused that this test wasn't done at the time he was tested for hiv? Or, when he had his first stroke, and also with his condition, I am very surprised that it's taken months for this lumber puncture to be done? It's taken for him to have several strokes for tests to be done?
Expert:  Dr. David replied 9 months ago.
yes, they should have tested him for syphilis when he was diagnosed with HIV. the tests could have been negative at that point as well.The prozone phenomenon in syphilis testing refers to a false negative response resulting from overwhelming antibody titers which interfere with the proper formation of the antigen-antibody lattice network necessary to visualize a positive flocculation testhis HIV could have caused this prozone phenomenon to cause his syphilis testing to be negative.http://www.medscape.com/viewarticle/477644I'm not sure if you can get that article.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.