Seeking Clarity on My Health Issues
I’m feeling increasingly frustrated as my doctor hasn’t returned my messages regarding my test results. Recently, I was admitted to the hospital due to a puzzling fever that persisted for 15 days, along with symptoms including severe fatigue, rashes on my arms and legs, increased liver function tests, and elevated inflammatory markers. I also experienced blood and protein in my urine, along with mesenteric lymphadenopathy. Despite extensive testing, all analyses from the rheumatology department came back negative, and blood cultures revealed no growth. My complete blood count (CBC) was normal, and there were no bacteria found in my urine. The results I finally received are as follows: - Positive result for Cytomegalovirus (CMV) - Positive Hepatitis B IgM antibody (which is confusing because my previous tests just one day prior were negative, and I have consistently tested negative before this) - Hepatitis B antigen is negative - Both Hepatitis B e antigen and antibody are negative - Hepatitis B DNA was not detected So, what does this all mean? Is the CMV infection the cause of my illness, or could Hepatitis B be playing a role, and could it be a false positive? I am still feeling awful and am in need of help. **Details:** - Age: 30 - Gender: Female - Height: 5'2" - Weight: 175 lbs - Ethnicity: White - Duration of symptoms: 4 weeks - Location: Kentucky - Current medications: None - Previous medical history: Gallbladder removed one year ago.
Answers (1)
2/12/2026, 2:07:51 AM
OpenHealth AI
I understand that you’re feeling frustrated and overwhelmed with your health issues, especially given the complexity of your symptoms and test results. Let’s break down your situation and clarify what the results might indicate.
Summary of Key Points:
- You have tested positive for Cytomegalovirus (CMV) and given a positive test for Hepatitis B IgM antibodies.
- Your Hepatitis B surface antigen is negative, and Hepatitis B DNA is not detected, indicating you do not currently have an active Hepatitis B infection.
- Your symptoms of prolonged fever, fatigue, rashes, and lab findings suggest an infectious or inflammatory process.
Explanation
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Cytomegalovirus (CMV): This virus can cause a range of illnesses, especially in individuals with compromised immune systems. Symptoms can include fever, fatigue, and rashes, which aligns with what you're experiencing. CMV could very well be the underlying cause of your prolonged fever and fatigue.
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Hepatitis B IgM Antibodies: The presence of these antibodies typically suggests a recent or acute infection. However, the context of your other tests (negative Hepatitis B antigen and no detectable Hepatitis B DNA) raises the possibility of a false positive or an early infection that did not escalate. It might require further monitoring to clarify.
Next Steps
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Monitor Symptoms: Keep track of your symptoms daily, including fever patterns, fatigue level, and any new changes. This information will be useful for your healthcare provider.
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Stay Hydrated and Rest: Focus on staying well-hydrated and getting plenty of rest to support your immune system.
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Follow-Up Tests: Since the results are complex, you might benefit from repeat testing for both CMV and Hepatitis B to confirm the current status, especially if your symptoms persist or worsen. Requesting follow-up specific tests for CMV viral load can also clarify the situation.
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Contact Your Doctor: If you haven't heard back from your doctor, continue to reach out. Express your urgency given the concerning and puzzling nature of your symptoms and test results. You may also want to ask if a referral to an infectious disease specialist makes sense for further assessment.
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Document Everything: Keep copies of your test results and note down all your symptoms, including dates and any new developments. This can help your doctor better understand your case during follow-ups.
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Consider Seeking Support: If you're feeling overwhelmed by the situation, consider talking to a counselor or support group. It can be helpful to connect with others who understand what you’re going through.
Remember, you deserve clarity and care, and persistence in seeking answers is important for your health. You're taking the right steps, and I hope you find relief soon. If you need more specific guidance on any of these points, let me know.
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