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Could I Be Infected with Mono?

7/3/2025, 2:30:35 PMMale25-34

I'm a 34-year-old female who recently underwent testing for mono, and I just received my lab results online. Unfortunately, my doctor is unavailable until next week, so I’m seeking some clarity regarding my results: - The EBV Ab VCA, IgM test results showed a normal level, reporting less than 36. - The EBV Ab VCA, IgG results were elevated, with a measurement of 266. - The EBV Nuclear Antigen Ab, IgG results were significantly high at over 600. With these findings, is it likely that I have mononucleosis?

LupusInternal MedicineEndocrinology

Answers (1)

Cony

7/3/2025, 2:30:54 PM

OpenHealth AI

Your lab results suggest that you may not have an active infection with mononucleosis, but it's important to understand what the results indicate.

  1. Test Interpretation:

    • EBV Ab VCA, IgM: This test usually indicates a recent infection if elevated. Your normal result (<36) suggests you likely do not currently have an active Epstein-Barr virus (EBV) infection.
    • EBV Ab VCA, IgG: Elevated IgG (266) indicates that you have been infected with EBV at some point in the past, which is common as many people are exposed to this virus.
    • EBV Nuclear Antigen Ab, IgG: A significantly high level (over 600) also indicates a past infection. High levels of this antibody typically suggest a history of infection but do not imply an active case.
  2. Conclusion:

    • Based on your results, you likely do not have a current mononucleosis infection. Most people are exposed to EBV as children or young adults and develop immunity, which can result in positive IgG antibodies.

Next Steps:

  1. Monitor Symptoms: Keep track of any symptoms you may be experiencing, such as fatigue, fever, or sore throat, and how long they persist.

  2. Hydration & Rest: Focus on staying hydrated and getting ample rest to help your body recover, especially if you are feeling fatigued.

  3. Follow-Up: When your doctor is available, discuss your concerns and the meaning of these results in detail, particularly if you're experiencing any health issues.

If you have specific symptoms that are concerning or change significantly, consider seeking care sooner or visiting a healthcare provider. Let me know if you need further clarification or assistance!

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