Epstein Barr Virus

After 7 years of Fatigue, gastic problems, temperature changes, tremers, dizzyness and eye problems a blood test showed high for Ebstein Barr Virus.
My eyes are what bother me most they feel tired, like I've been crying, they just want to close. Sometimes they ache and hard to focus.
Could this be EBV? Up till now nothing has shown up with Xrays,MIRs,& blood work.
Thank You

[Kevin Pho, MD]

Hello - thanks for asking your question.

You are describing a multitude of symptoms that can be caused by many diseases.  

Infectious mononucleosis caused by EBV typically has symptoms of low grade fever, weight loss, and chronic fatigue.  Less common findings include petechiae (pinpoint bruising), periorbital or palpebral edema (swelling around the eyes), and maculopapular and morbilliform rashes.  Nausea, vomiting, and anorexia are frequent in patients with mononucleosis.  

Typically mononucleosis resolves on its own.  If you are having seven years of symptoms, there is a strong possibility that something else is involved.  There are some small studies that suggest benefit with steroids and antiviral treatment, but they are controversial.

Further tests to consider (you may have already performed these) include a PPD for tuberculosis, CT scans of the chest and abdomen (looking for lymphoma), blood cultures, thyroid tests, and sedimentation rate should all be considered.  You may want to inquire about a referral to an infectious disease specialist.  

Without examining you or your studies myself, it is impossible to be more specific.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.