Positive HSV 2 Test

Hi
I just tested positive for HSV2 and got an IGG reading of 1.49.  I did a battery of tests (for HIV and all STD's) and got back negative on all others.    I am getting retested for HSV2 and awaiting results due Thursday.  I had always carefully used condoms and never had any symptoms so was very suprised to get back HSV2 positive.  

1) If I get back another positive in that range, should I consider getting the Univ of WA Western Blot test
2) How often is a reading in this range a false positive? I understand 1.49 is a low positive
3) I have a young daugther and worry that I could transmit through a kiss on lips or if she drinks from my glass or puts my toothbrush in her mouth.    Can you please tell me if there is a risk of transmittion of HSV2 to her? (I was negative for HSV1).

I appreciate your help.   I'm sweating out the results on Thursday but want to prepare myself in the event I get another positive result.
Regards,
Bob

[Terri Warren, RN, Adult Nurse Practitioner]

Yes, this is a low positive for sure.  I don't have a percentage for you about how likely this is to be negative, though we are in the process of accumulating that data.  Were you positive or negative for HSV 1?  If you get another low positive, you definitely need a western blot test done.   And if you have genital HSV 2, you don't need to worry at all about kissing your daughter.  HSV 2 orally is rare, and if it occurs, is rarely shed from the mouth, so even in the rare event that you had it, you would be unlikely to shed the virus.  Let me know how your tests come out and we'll decide what to do next, OK?

Terri

[BobZ2010]

Terri,
Thank you for your response.   I got my second IGG test result for HSV2 this past Monday and it was 2.27 (both times I was negative for HSV1).       I just got the Biokit USA done today and it was negative.  

The last sexual encounter I had was on December 15th (a little over 3 weeks ago) so my only concern is the increase from 1.49 to 2.27.   The Biokit has given me some comfort.

Should I be in the clear at this point?  
Thank you again.    Bob

[Terri Warren, RN, Adult Nurse Practitioner]

No, you are definitely not in the clear at this point.  The 2.27 is more worrisome.  The closer the value gets to 3.5, the more likely it is to be a true positive.  I would get a western blot test now for sure.

Terri

[BobZ2010]

Hi Terri,
I just got tested again for HSV 2 and wanted to share most recent result following your email response to me on Jan 7th.  You noted that the 2.27 IGG test was worrisome after my 1.49 initial IGG Est a week earlier, even though Biokit was negative.    

My IGG test on Jan 27th came back negative <.9 and I just tested Biokit again on Feb 3rd and it was again negative.    My last sexual encounter was 7weeks and 2 days ago ago.     Do you believe the negative test post the 2 other low positives signals that I'm in the clear?   I'd appreciate yours or other Docor / RN's thoughts.
Bob

Tests:       12/31-1.49 - IGG
1/04 -2.27 - IGG
1/07 - Negative - Biokit USA
1/25 - Negative  IGG-
                 2/3 -  Negative Biokit USA

[Terri Warren, RN, Adult Nurse Practitioner]

Yes, I believe this is very good news.  I think you are likely to stay negative.  When a person moves from a positive to a negative result, it usually means they are not infected, but we cannot be certain.  If you were my patient, I would recommend a western blot at 16 weeks post exposure.  If that is negative, I would call it good and stop worrying about it.

Terri