Sedalia, MO
A 39-year-old female asked:

I received mono results as follows ebv-igg 4.44 ebv- igm 0.60/ ebv-nuclr ag 8.43/early ag 0.29 my gyno dr said i still have the infection. is this true? nuclr and igg so high why?

2 doctor answers3 doctors weighed in
Dr. Martin Raff
Infectious Disease 58 years experience
EBV: Like all herpes viruses this remains through your entire life, and there are episodes during which symptomatic recurrences happen, although uncommonly. Interpretation of the serology reports are not easy outside of the clinical presentation of the patient. Ebv infection can also be the precursor (cause?) of numerous malignancies, usually in immune suppressed individuals. See an id doctor.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Michael Ein
Infectious Disease 50 years experience
No: Your antibody panel indicates past infection with epstein-barr virus the cause of mononucleosis. In an acute infection the vca-igm should be positive and yours is negative. The positive ebv-nuclear antibody indicates your initial infection was more than several months ago as this antibody doesn't turn positive until several months after primary infection.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Sep 28, 2016


Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.