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Doctor insights on: Abnormal Lyme Titers Cbc Treponema

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Complete Blood Count (Definition)

Share on twitter bookmark & share printer-friendly version a complete blood count (CBC) test measures the following: •the number of red blood cells (rbc count) •the number of white blood cells (wbc count) •the total amount of hemoglobin in the blood •the fraction of the blood composed of ...Read more


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Ebv panel. Ebv nuc antigen igg=157, early ag igg=12.7, EBV VCA igg=112, EBV VCA igm=10.6. Please explain. Concerned about spleen. Symp=fatigue/fog?

Ebv panel. Ebv nuc antigen  igg=157, early ag igg=12.7, EBV VCA igg=112, EBV VCA igm=10.6.  Please explain.  Concerned about spleen. Symp=fatigue/fog?

? Active infection: It's impossible for me to answer with certainty since i don't know the normal ranges your lab uses. If early ag & vca igm are elevated above normal this indicates active ebv infection.I don't know if it is acute or chronic without knowing your history. If chronic i see that as a sign of poor immune function.Immune-boosting herbs/supplements & IV vit c drips may help, but find why immunity is poor. ...Read more

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Monotest (target values <1.0=negativ). Values: EBV VCA IgG-Ak 39.9; EBV VCA IgM-Ak 1.1; EBNA-1 IgG-Ak 14.7; EBV DNA (PCR) negativ. What does it mean?

Monotest (target values <1.0=negativ). Values: EBV VCA IgG-Ak 39.9; EBV VCA IgM-Ak 1.1; EBNA-1 IgG-Ak 14.7; EBV DNA (PCR) negativ. What does it mean?

Ask who ordered: The test, but in general, they were suspecting EBV infection/Infectious mononucleosis, which looks negative, the final diagnosis is with the doctor who ordered the blood test. Clinical picture is important, finally we treat patients not lab results, good luck ...Read more

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I have CBC test where monocytes are high, liver enzymes ALT high; also EBV IgG positive, CMV IgG positive CMV IgM normal.. Hiv negative at 32 weeks.

I have CBC test where monocytes are high, liver enzymes ALT high; also EBV IgG positive, CMV IgG positive CMV IgM normal.. Hiv negative at 32 weeks.

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it would help to have the actual values of the results. The one item of interest is high ALT. If you drink alcohol, stop entirely for three months and redo the test. Other results are okay. ...Read more

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Lupus panel negative. Sed rate 30 should b under 20. Ana positive w/ spec pattern. Serum protein electrophoresis test normal. Cbc ok. Metabolic ok.?

Lupus panel negative. Sed rate 30 should b under 20. Ana positive w/ spec pattern. Serum protein electrophoresis test normal. Cbc  ok. Metabolic ok.?

Any joint pain?: Positive ANA and elevated sed rate. If you have joint pains it would be advisable to follow up with a rheumatologist. You have some kind of inflammatory process going on. Both test are very nonspecific and further work-up is needed. ...Read more

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Positive ANA 1:160 homogeneous, positive EBV (via, igg) at 3.97 H. See rheumatologist? Possible diagnoses?

Positive ANA 1:160 homogeneous, positive EBV (via, igg) at 3.97 H. See rheumatologist? Possible diagnoses?

Symptoms?: We treat patients not lab results, you can still see a rheumatologist to sort things out for you, best wishes ...Read more

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Negative ANA, negative Anti-DSDNA, negative Sjögren antibodies, normal ESR, normal C-RP, normal CBC. Does this rule out lupus or Sjögren syndrome?

Negative ANA, negative Anti-DSDNA, negative Sjögren antibodies, normal ESR, normal C-RP, normal CBC. Does this rule out lupus or Sjögren syndrome?

Yes, I would say : Your chance of of having lupus or Sjogren is less than 1 to 2% with those negative serology. But I would say majority (if not all) of rheumatologist would likely advise you to look for other diagnosis unless you have tissue biopsy to suggest otherwise. ...Read more

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Help with blood results: EBV VCA IgG >8.0, EBV IgM neg. CMV antibody IgG 38, EBV NA antibody >8.0. Can it explain my body aches? Why or why not?

Old infection: with EBV is the pattern of IgG positive (including NA) and IgM negative. I assume the CMV which is a different infection is also the IgG? If so, both are old infections and do not usually explain your current symptoms. This is a pattern that shows immunity to these infections. Look for other causes. ...Read more

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Dsdna=15, ANA pos, elevated seg neutrophils, ebv:igg > 8.0, IgM > 1.9, mono neg, normal sed rate. Only symptom fatigue. Ideas?

Dsdna=15, ANA pos, elevated seg neutrophils, ebv:igg > 8.0, IgM > 1.9, mono neg, normal sed rate. Only symptom fatigue. Ideas?

Autoimmune disease: Autoimmune disease like lupus/sle is in the top of my differential diagnosis. Go and discuss with your pcp. Your pcp can refer you to see a rheumatologist as indicated. ...Read more

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Cmv IgG positive CMV IgM postive , all CMV infectious disease blood tests are postitive. Liver enzymes slight elevated , what do I have? Cmv is what

Cmv IgG positive  CMV IgM postive , all CMV infectious disease blood tests are postitive. Liver enzymes slight elevated , what do I have? Cmv  is what

CMV: Is cytomegalovirus and is similar to mono. It is causing the positive blood tests and the elevated liver enzymes. It is very common. You will recover. In the meantime, I do suggest seeing an acupuncturist and chinese medicine practitioner as it can really help your body recover faster. ...Read more

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How about Ana screen positive, Ana titer (ifa) 1:80 Hi, and pattern speckled?

How about it?: Up to a quarter of women your age have an ANA (immunofluorescent antibody) at a low titer like yours with a speckled pattern. If there's a question of whether you have lupus or one of its relatives, it's a piece of information to note and file for future reference. A negative ANA would rule several things out. Your result proves nothing positive. Best wishes. ...Read more

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Elevated EBV ab VCA IgG <8 and EBV nucleaer antigen ab IgG test 4.2. & anti-dna(ss)igg ab qn ( 119)& c react protien(5.6) what are implications?

Elevated EBV ab VCA IgG <8 and EBV nucleaer antigen  ab IgG test 4.2. & anti-dna(ss)igg ab qn ( 119)& c react protien(5.6)  what are implications?

Nothing.: Ebv antibodies indicate you had a previous infection, but not active. The c-reactive protein needs a units indicator - that is either normal or somewhat elevated. The anti ss dna is extremely nonspecific and very rarely indicated; I have no idea why that was ordered, discuss with your doctor. ...Read more

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EBV early antigen Ab, IgG <9; EBV Eb, VcA, IgG >600; EBV nuclear antigen Ab IgG 108. Diagnossed with CAEBV infection. Does this sound right to you?

Maybe.: The profile is of a past infection. I am not sure if it can be diagnosed just by symptoms and evidence of past infection. I think you would need the second criteria of diagnosis which is DNA of EBV in peripheral tissue or blood detectable through PCR test with a low anti-EA. Have other diagnoses like Lyme's been tested for? ID specialist. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3245398/ ...Read more

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Swollen lymph nodes for 3 months with on/off pain, few other symps. Tested for sti,ana,lyme-neg. Cbc - normal. Going to get node biopsy. What's causing this?Should I be prepared for death/bad news?tks

Swollen lymph nodes for 3 months with on/off pain, few other symps. Tested for sti,ana,lyme-neg. Cbc - normal. Going to get node biopsy. What's causing this?Should I be prepared for death/bad news?tks

Mono??: there is a lot of non scary reason to have enlarged lymph nodes not knowing the reason does not mean it is bad. the bad disease is always easier to find. you can scare yourself to death by paranoia. stay with your doctor ,eventually they will find out what is wrong. good luck. ...Read more

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I had a CBC that was normal. 7 days later, start Bactrim for Lyme. 5 days thereafter, CBC shows mild anemia (low: RBC, Hgb, Hematocrit), with normal iron/ferritin. Low Folate, normal MCV. IS THIS FOLATE DEFIC. ANEMIA OR BACTRIM: APLASTIC ANEMIA?

I had a CBC that was normal.  7 days later, start Bactrim for Lyme.  5 days thereafter, CBC shows mild anemia (low: RBC, Hgb, Hematocrit), with normal iron/ferritin.  Low Folate, normal MCV.  IS THIS FOLATE DEFIC. ANEMIA OR BACTRIM: APLASTIC ANEMIA?

Could be a problem: Red blood cells live about 3 months, which means there should not be a big drop in a previously normal person's blood count after just 12 days. That means 90% of a person's red blood cells present today, should still be present 12 days from now. A big drop in RBC's, Hgb, and Hct would mean a need to recheck the blood test and/or look for some cause of loss of existing red blood cells. ...Read more

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Swollen lymph nodes-on/off Pain for 3 mon,rashes,body ache.Saw 3 docs,no diag.Tested for lyme,ANA,hiv,cmv,ebv,sti..neg.cbc -normal.Worred Hlp pls?

Swollen lymph nodes-on/off Pain for 3 mon,rashes,body ache.Saw 3 docs,no diag.Tested for lyme,ANA,hiv,cmv,ebv,sti..neg.cbc -normal.Worred Hlp pls?

A lymph node: Biopsy...is probably your next step....it will "settle" your concerns.....A "needle" aspiration may be sufficient! Good Luck Hope this helps! Dr Z ...Read more

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31m Any docs tell me I should do next. bronchoscope / endo / colon / Ct. scan chest / abdom MRI head. Blood test CBC / Lyme / Antibidy / hiv / serum / 5hiaa / echo / holter! Psyc says I'm fine. heart beat pace/rest feels weak chest fullness cancer?

31m Any docs tell me I should do next. bronchoscope / endo / colon / Ct. scan chest / abdom MRI head.  Blood test CBC / Lyme / Antibidy / hiv / serum / 5hiaa / echo / holter! Psyc says I'm fine. heart beat pace/rest feels weak chest fullness cancer?

Somatizing?: This is classic. I strongly suspect you are in a difficult life situation and this itself is causing your symptoms. This is the commonest single thing that we see in clinical medicine. The normal sensations of a living body are registering as sickness. If I'm wrong, forgive me -- but these testes would pick up anything serious. I'd urge you to hit the gym hard & build quality friendships. ...Read more

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Treated for treponema palladium 26 yrs ago. Can a'bodies still b present/interfere w/lymes wblot?

Treated for treponema palladium 26 yrs ago. Can a'bodies still b present/interfere w/lymes wblot?

Syphilis: Yes you can have what is called serofast lues, in which the serology remains positive. It is unlikely to cause a false-positive western blot for lyme. ...Read more

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Expert opinion please: could taking minocycline affect my Lyme titers?

Expert opinion please: could taking minocycline affect my Lyme titers?

Yes: Minocycline is one of several antibiotics used to treat lyme. Falling lyme titers and increasing cd57 levels are a good sign. ...Read more

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Does the anti-nuclear ab titer and pattern check for Lyme disease?

Does the anti-nuclear ab titer and pattern check for Lyme disease?

No: Anti-nuclear antibody tests check for autoimmune diseases such as lupus. Some people with longstanding lyme do develop auto-immune disease and might have anti-nuclear antibodies, but most people with lyme do not have anti-nuclear antibodies. ...Read more

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What would cause a positive Lyme titer but negative western blot?

What would cause a positive Lyme titer but negative western blot?

see details: The lyme titer is nonspecific and can be positive by itself if the presence of other autoimmune diseases, viral infections or a history of lyme in the distant past. I negative western blot rules out active lyme disease. ...Read more

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Diagnosis help: for 6 wks I had sore, dull ache in my neck and along my spine. Also I have numbness and pain on sole of left ft. Lyme titers were neg.

Need evaluation: You need to see your physician to clarify the involvement. I doubt Lyme but think more of a type of neurological involvement ...Read more

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Numbness/ pain in sole of left foot along with soreness along back of neck and spine for 6 wks. Stool has also been very loose. Lyme titers were neg.

How old are you?: We need to know your age. Please put it in your public profile. We cannot answer questions from minors. We need age, country or state, and gender. Age, location, and gender, can affect our answer, since some conditions are more likely in different places or in different age groups. Be honest! You expect if of us, and we expect it of you, too! ...Read more

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Is it safe to dismiss a positive ANA speckled with a titer of 1:640 if CBC ok. Lupus panel negative. Metabolic ok. Urine ok. Serum protein ok?

Yes and no: We have a saying in pathology / lab medicine, "treat the person, not the labs." plenty of healthy folks have medium-titer speckled ana's. The real question is, "do we want to treat you for lupus or whatever, with all the unpleasantness that this involves?" i think the answer is "no" based on what you're shared if your physician agrees. Remember the ANA should new symptoms develop. Good question. ...Read more

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38 yr old woman, ANA Hep-2 Cell test was + at >=640 Titer, homogeneous pattern. Test done for yearly physical. Fatigue & mild back pain for past 2 months. All other tests (CBC, HBA1C, Electrolytes, Thyroid) normal. Physically active. Very Serious?

Not necessarily: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, elevated ANA suggests auto-immune disorder and you may wish to consult a rheumatologist. Avoid exposure to sun.
Wish you good health! - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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Is it unusual to have Lyme disease and not have clear symptoms?

Is it unusual to have Lyme disease and not have clear symptoms?

Yes : Many patient could have the initial signs and symptoms of lime disease and they are not diagnosed at that time for multiple reasons , related to the severity , lack of evaluation , misinterpretation of the symptoms, lack of though about the occurrence of the disease. ...Read more

Dr. Randy Baker
657 doctors shared insights

Lyme Disease (Definition)

A tick-borne illness caused by the bacterium borrelia burgdorferi that results in symptoms of fever, headache, fatigue, and a characteristic skin ...Read more


Cbc (Definition)

CBC stands for complete blood count. This is a lab test that counts the different formed elements- red and white ...Read more