I have chronic fatigue with positive EBV. What should I do further?
Patient's 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?
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.
Patient's Query
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.
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
Does numerous enlarged lymph nodes with Epstein Barr virus indicate lymphoma?
For which infection is Zovirax suggested?
I get a bad fever every time I kiss somebody. Will this condition eventually go away?
I have weakness and pain throughout my limbs. Am I still dealing with mononucleosis?
I have a constant soreness on the left side of my head and face. What is the cause?
My fingers are forming knobs and hurt. Why is it so?
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.