ADVERTISEMENT

Q. I have chronic fatigue with positive EBV. What should I do further?

Answered by
Dr. Parth R Goswami
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Sep 29, 2020

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?

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

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).

Kindly mention if you have a sore throat, enlarged neck node, enlarged spleen like presentation,etc.? No specific treatment is needed for EBV induced mononucleosis infection.

For your weakness, investigate with ANA (antinuclear antibody) estimation, and neurological examination is also advisable.

Thank you doctor,

My concern is that I am having a reactivation of the EBV. Can this be the case and is there another test to confirm or deny?

#

Hello,

Welcome back to icliniq.com.

As I have mentioned in my answer, IgG antibody positivity to VCA can be due to past infection of EBV. IgG antibody can be positive for many years after acute infection.

But to confirm reactivation or acute infection you can investigate with IgM antibody test. So you can investigate with IgM testing against EBV. IgM antibody if positive, it does not indicate an old infection. It can be due to recent infection only at least within the last few months. Clinical correlation also should be done.

I hope this helps.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Does numerous enlarged lymph nodes with Epstein Barr virus indicate lymphoma?

.. 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 mali...   Read full

For which infection is Zovirax suggested?

.. is actually a medicine for viral infection and your physician is on right lines. Do not worry about that. Not many benefits are seen with Zovirax in infectious mononucleosis (IM) caused by Epstein-Barr virus- EBV, but this is good if indicated. Ye...   Read full

I get a bad fever every time I kiss somebody. Will this condition eventually go away?

Cytomegalovirus ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Hematologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.