Question

I’ve been diagnosed with ME by my GP after having several months of fatigue, enlarged glands, night sweats and flu-like symptoms. A friend says that HIV/AIDS can cause very similar symptoms in the early stages and that I probably ought to have an HIV blood test – which hasn’t been done as far as I know.

Having had several sexual partners, some casual, in the past, I suppose I could be at risk. Unfortunately, this isn’t the sort of medical query that I can discuss with my GP because he is a family friend.

Answer

Firstly, it's worth noting that all doctors have a duty of strict confidentiality to their patients – which means that sensitive medical information must not be disclosed to members of your family (or anyone else) without your knowledge or permission. But I do understand your concerns.

Secondly, your question is very valid – because HIV (and hepatitis C infection) can cause persisting flulike symptoms, especially during the early stages. So testing for these infections should form part of a routine assessment in anyone who is suspected of having ME/CFS, especially where a person has had multiple sexual partners, or has been involved in other ‘at risk' behaviour (e.g. intravenous drug use) or has had a blood transfusion prior to 1992 (in relation to hepatitis C infection).

If you feel that you cannot talk to your GP about having an HIV test you can make an appointment at a local genito-urinary medicine clinic – most local hospitals have one. There may also be a local private clinic that does HIV testing and counselling.

Early/Acute HIV Symptoms (2-6 weeks after infection):

• Fever: A common symptom, often accompanied by other flu-like symptoms.
• Sore Throat: Inflammation and discomfort in the throat.
• Swollen Lymph Nodes: Enlarged glands, particularly in the neck, armpits, and groin.
• Muscle and Joint Pain: Aches and pains throughout the body.
• Rash: Skin eruptions or lesions may occur.
• Fatigue: Feeling tired and lacking energy.
• Headache: A common symptom, sometimes severe.
• Diarrhoea: Loose stools and frequent bowel movements.
• Mouth Ulcers: Sores or lesions in the mouth.
• Night Sweats: Excessive sweating during sleep.

Later Stage HIV Symptoms:

• Weight Loss: Unexplained and significant weight loss.
• Chronic Diarrhoea: Persistent and prolonged diarrhoea.
• Oral Thrush: Fungal infection in the mouth, causing white patches.
• Recurrent Infections: Frequent or persistent infections such as pneumonia, tuberculosis, or skin infections.
• Swollen Lymph Nodes: Can persist or worsen.
• Neurological Problems: Cognitive impairment, memory loss, or other neurological issues.
• Skin Problems: Rashes, lesions, or other skin conditions.

See Also: Testing: HIV