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Microbiology Human Immunodeficiency Virus 9812d737

A patient comes to hospital with a history of sore throat, diarrhea and sexual contact 2 weeks before. The best investigation to rule out HIV is:

A
p24 antigen assay
B
ELISA
C
Western blot
D
Lymph node biopsy
High-Yield Explanation
Ans. is 'a' i.e., p. 24 antigen assay (Ref: Ananthanarayan, 9th/e, p. 577 - 578 and 8th/e, p. 576)* p24 antigen is the earliest virus marker to appear in blood and is the one tested for.* It may be detectable in blood after about 2 weeks.Remember: Nucleic acid tests (RT - PCR, BONA, PCR) are the earliest test to become positive (even before p24 antigen detection).TestPositive after infectionNucleic acid test12 daysp24 antigen test16 daysAntibodies test22 days

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