Hi, I am Dr. Atul Kumar Nimawat MS ENT.
Hello, thank you for your detailed history. I understand your anxiety, and let me break this down for you clearly
Findings from Image:
Enlarged tonsils with exudative white patches — consistent with chronic or recurrent bacterial tonsillitis.
No signs specifically indicative of immunodeficiency-related oral lesions (e.g., oral candidiasis, Kaposi’s sarcoma, hairy leukoplakia).
Your image and symptoms do not show hallmark signs of
HIV-related oral disease.
Next Steps
for your peace of mind:
Recommended Investigations:
1.
HIV Combo Test (4th Generation) – Detects both p24 antigen and antibodies, conclusive 28 days post-exposure.
2. CBC and ESR/
CRP – To assess general inflammation and immune response.
3. Throat swab culture and sensitivity – To check for resistant bacterial strains.
4. HIV RNA PCR – Optional if extreme anxiety persists (detects viral RNA early).
Health Tips
Your case is more consistent with recurrent bacterial tonsillitis, possibly due to:
• Incomplete antibiotic response
• Resistant organisms
• Local irritation (air conditioning, smoking, dehydration)
• You may benefit from:
• A complete 10-day course of targeted antibiotics based on culture
• Gargles (chlorhexidine/saline)
• ENT follow-up to assess for tonsillectomy if ≥3–5 episodes/year