Common "Epstein Barr Virus" queries answered by top doctors | iCliniq

Epstein Barr Virus

The Epstein-Barr virus is present in human saliva and commonly spreads by sharing drinking glasses, toothbrushes, food, and drinks of an infected person or from a kiss of an infected person. Hence it is popularly known as kissing disease. Infection caused by the Epstein-Barr virus is known as infectious mononucleosis. It can also spread through sex, organ transplant, and blood transfusion as it is present in the blood. Symptoms include fatigue, sore throat, fever, rash, appetite loss, and sore muscles. These symptoms simulate flu, and in most cases, they go undetected and get transmitted. As there is no medicine to cure this infection, symptomatic relief like painkillers and medications for fever can be taken. Adequate rest and intake of plenty of fluids are advised. Within few weeks, the infection gets cleared on its own.

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What does IgG positive and IgM negative in an EBV test say?

Query: Hi doctor, I recently got an EBV test done. My result was IgG positive and IgM negative. What does this mean? Is it life-threatening, like HIV? Is it contagious? Please guide  Read Full »

Dr. Srivastava, Sumit

Answer: Hi, Welcome to IgM (immunoglobulin M) negative and IgG (immunoglobulin G) positive means that you do not have an acute infection but may be a carrier of Epstein-Barr virus (EBV) which is not as dangerous as HIV (human immunodeficiency virus) and can be easily treated. You may develop s...  Read Full »

Why do I get a fever, feel nauseous, and weakness after kissing someone?

Query: Hello doctor, I am a 20-year-old woman. Every time I kiss someone, even just a peck or someone I have kissed before, I get a bad fever that sometimes lasts up to a week, nausea, and fatigue that makes me sleep almost all day and night. I have only kissed about three people. Will this go away eventua...  Read Full »

Dr. Settipalli Saravan Pramod

Answer: Hello, Welcome to It could be due to Epstein-Barr virus (EBV). It typically occurs in teenagers, but you can get it at any age. The virus is spread through saliva, which is why some people call it 'the kissing disease. I would like to enlighten you about few other diseases you can get...  Read Full »

I have Epstein Barr virus and numerous enlarged lymph nodes. What are they?

Query: Hello doctor, Needle core biopsy of 0.59 inch lymph node in the abdomen at porta hepatis. Numerous small and large nodes are present. Flow cytometry shows peripheral blood contaminated specimen, lymphocytes population is 97 % of total leukocytes and consists of T-cells helper and suppressor immunoph...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to Hereby, I am giving my opinion for your case. You are having ebstein bar virus infection. This virus can lead to hepatitis development and enlarged lymph nodes. You are right on your suspicion that multiple enlarged lymph nodes raised suspicion towards malignancy esp...  Read Full »

What tests are needed for chronic Epstein-Barr virus infection?

Query: Hello doctor, I have chronic Epstein-Barr virus infection; I recently underwent blood tests to determine the diagnosis. What are the tests done for chronic EBV? Please clarify. Thank you.  Read Full »

Dr. Vandana Andrews

Answer: Hi, Welcome to I can understand your concern. If you have chronic Epstein-Barr virus (EBV) infection, your doctor may have ordered blood tests to help with the diagnosis. Here are some common tests that may be done: EBV viral capsid antigen (VCA) IgG and IgM: This test looks f...  Read Full »

I am a 22-year-old woman who had non-penetrative sex with my boyfriend. Should I be concerned about pregnancy?

Query: Hello doctor, I am a 22-year-old male, and I am not taking any medicine. All blood levels were normal, blood cells were normal, thyroid stimulating hormone (TSH) was 0.9 (still within the normal range), and urine and stool tests were normal. X-rays of the chest, lungs, and heart were normal, and th...  Read Full »

Dr. Zulfiqar Ahmed

Answer: Hello, Welcome to I read your query and can understand your concern. You are correct. Your blood tests are all normal. Chest X-rays reveal nothing unusual (attachment removed to protect the patient's identity). The Epstein-Bar should not have any long-term consequences. I am curious ...  Read Full »

I want to know about EBV in detail. Can you give an insight into it?

Query: Hello doctor, Looking for insight as to what these results mean. I was never aware of having EBV. Epstein-Barr Capsid Ag IgG titer >750.00 U/mL (H). Epstein-Barr virus Capsid Ag IgM Ab- 600.00 U/mL (H).  Read Full »

Dr. Shahad Alshehri

Answer: Hello, Welcome to I have read your query and understand your concern. The tests you attached are for EBV (Epstein-Barr virus) infection and they are interpreted as the following: 1. EBV Capsid Ag IgG titer: Positive 2. EBV Capsid Ag IgM antibodies: Negative 3. EBV Nuclear Associat...  Read Full »

Other than hepatitis, what can cause increased bilirubin levels?

Query: Hello doctor, I have jaundice. My biliurubin was 7.5 three weeks ago. I went to the doctor for jaundice. Weekly blood tests as of three weeks show bilirubin has been increasing. Hep test shows I do not have hepatitis. Ultrasound says no tumor bile duct coverage or stones. I took a CT scan and the r...  Read Full »

Dr. Ajeet Kumar

Answer: Hello, Welcome to Well, your US (ultrasound) and CT (computed tomography) scan are normal which is kind of satisfying to me. Of course you suppose to have more blood tests to confirm the origin of this jaundice. Hepatitis, although common, but they are not the only one to cause live...  Read Full »

I suffer from anemia along with EBV infection. Kindly help.

Query: Hello doctor, On my SPEP, there is a slightly raised total protein, 83 (66 to 81), and immunoglobulins show raised IGA level of 4.74. Electrophoresis shows beta globulins are a bit elevated at 11.5 (6 to 9.4), and gamma globulins at 13.8 (8 to 13.5). I have suddenly lost adipose tissue. Can blood do...  Read Full »

Dr. Kanani Darshan Jayantilal

Answer: Hello, Welcome to I thoroughly read your query and understand your concern. Based on the information you provided, there are a few possible explanations for your symptoms and test results. The elevated total protein and gamma globulin levels, along with the slightly elevated beta globul...  Read Full »

I have reactivated Epstein-Barr for a year. Please help.

Query: Hi doctor, I have had reactivated Epstein-Barr for a year. I recently got a blood test, which said, faint monoclonal band detected in the gamma region, repeat blood test in six months. There is no immunoparesis, and my levels have risen in the last four months, but still in the normal range. What do...  Read Full »

Dr. Shinas Hussain A. P

Answer: Hello, Welcome to I have gone through your query, and I can understand your concerns. The brief history you have described suggest a possibility of past infection with EBV (Ebstein-Barr virus). Probably you had an episode of IMN( infectious mononucleosis) in the childhood, which is ...  Read Full »

How to treat chronic fatigue and weakness due to positive EBV?

Query: Hello doctor, I have had problems with chronic fatigue for the past 10 years. I was reading about EBV and the test came back positive. Can you review the attached report and give me analysis and next steps as far as testing and treatment?  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to I have seen the report (attachment removed to protect patient identity). The positive IgG report can be due to past infection as well. To rule out recent infection, you need to investigate with IgM antibody estimation against EBV (Epstein-Barr virus). ...  Read Full »

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