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Family Medicine (Expert Forum)
EBV
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.
EBV
by Deedesign, Feb 18, 2005 12:00AM
I have been very stressed (most I have ever been) for about 4-5 months. Ever since I got a jock itch rash I was a nervous wreck. (Hypo) Anyway, since then I have been very stressed always looking & finding for new symptoms. I have been to many Dr.s & all was ok. I went to the Dr. 2 days ago and asked for a CBC & he also took blood to see why I am always tired. (I am normal tired not exhausted tired) Anyway, he told me that I have Chronic Fatigue Syndrome. My blood tests show everything normal. WBC-5.9 / RBC-5.19 / PLATELET COUNT-204 / TOTAL LYMPHOCYTES-30.2 TOTAL NEUTROPHILS-62.8 These and the rest are all in normal range. I took a Epstein Barr VCA IGG AB and that cam back high at 3.54. What do you think? The EBV CAPSID AB (IGG.M) came back negative at 0.07. I do not have any fevers, soar throat or anything like that. I am a healthy 36 year old male. I do not smoke, do drugs, straight, and starting to work out & eat right. My cholesterol was very high at 276 with a LDL of 185. In regards to the EBV I also heard that people who were exposed to the virus at a younger age can test high levels as well. What do you think Dr.? Can my immune system be fine with this?
Doctor's Answer
by Kevin Pho, MD, Feb 19, 2005 12:00AM
, Feb 19, 2005 12:00AM
The positive IgG test suggest that you have had Epstein Barr virus (mononucleosis) in the past. The negative IgM test does not suggest recent infection - thus, I would agree with your physician's assessment.
Other things to test for would be a thyroid test, vitamin B12 level and an ANA test (looking for rheumatological disease). If negative, you can consider a neurological referral for another opinion.
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.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Other things to test for would be a thyroid test, vitamin B12 level and an ANA test (looking for rheumatological disease). If negative, you can consider a neurological referral for another opinion.
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.
Kevin, M.D.
Medical Weblog:
kevinmd_b
