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I Have Had 3 Weeks Of Fairly Profound Symptoms. Sore Throat, Swollen Glands, Primarily In Neck And Back Of Head, Body Aches, Aching Knees, Some Neurological Deficits Manifesting In Cold Very High EBV Number. What Do You Make Of This And What Should I Do?
Posted on
Tue, 7 Aug 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 7 Aug 2018
Answered on
Mon, 23 Jan 2023
Last reviewed on
Question : I have written about this before, but now have more lab insight and would like some perspective please.
Have had 3 weeks of fairly profound symptoms. Sore throat, swollen glands, primarily in neck and back of head, body aches, aching knees, some neurological deficits manifesting in cold and tingly extremities, my right hand nearly "went dead" for a few hours last week. Waves of weakness, followed by feeling almost 100%.
In my blood work from 2 weeks ago, I had a low WBC of 3.9 and higher than normal Monocyte percentage of 11.1. Other things were normal.
My doctor ran a more comprehensive panel, which I have now attached that shows a very high EBV number. What do you make of this and what should I do?
Have had 3 weeks of fairly profound symptoms. Sore throat, swollen glands, primarily in neck and back of head, body aches, aching knees, some neurological deficits manifesting in cold and tingly extremities, my right hand nearly "went dead" for a few hours last week. Waves of weakness, followed by feeling almost 100%.
In my blood work from 2 weeks ago, I had a low WBC of 3.9 and higher than normal Monocyte percentage of 11.1. Other things were normal.
My doctor ran a more comprehensive panel, which I have now attached that shows a very high EBV number. What do you make of this and what should I do?
Report Status: FINAL
**********************************************OUT OF RANGE SUMMARY**********************************************
HEPATITIS B SURFACE ANTIBODY
HEPATITIS B SURFACE AB 10.1 H
0 - 9.9 mIU/mL
0 - 17.9 U/mL
0 - 17.9 U/mL
EBV IGG VCA
181.00 Positive
>600 Positive
EBV NUCLEAR AG IGG
CBC
WBC 4.7 RBC 4.93 HEMOGLOBIN 15.0
HEMATOCRIT 45 MCV 92 MCH 30.4 MCHC 33.2 RDW 13.4
PLATELET .
PLTS CLUMPED
Tech:KEITH Date:08/03/18 06:53
4.2 - 11.8 10^3/uL
4.4 - 5.8 10^6/uL 13.1 - 17.1 g/dL
40 - 50.4 % 80.8 - 97.4 fL 26.6 - 33.0 pg
32 - 34.9 g/dL 11.8 - 15.5 %
147 - 365 10^3/uL
Tech:CHUCK Date:08/03/18 10:22
43.7 - 73.5 %
1.9 - 7.5 10^3/uL
17.9 - 45.1 %
1 - 4 10^3/uL
3.8 - 10 %
0.2 - 0.9 10^3/uL 0.0 - 6.1 %
0.0 - 0.5 10^3/uL 0.0 - 0.9 %
AUTOMATED DIFFERENTIAL
SEGMENTED % SEGMENTED # LYMPHOCYTES % LYMPHOCYTES # MONOCYTES % MONOCYTES # EOSINOPHILS % EOSINOPHILS # BASOPHILS %
59.0 2.8 30.61 1.4 8.7 0.4 1.17 0.05 0.46
(Continued on Next Page)
Laboratory Director:
Ghazala Nathu, MD, Ph.D,FACB
INTERPRETATIONS:
<10 = NO IMMUNITY/NON-REACTIVE
>=10 = IMMUNITY/REACTIVE
RESULT INTERPRETATION
<18.0 U/mL NEGATIVE
18.0 - 21.9 U/mL EQUIVOCAL
>= 22.0 U/mL POSITIVE
RESULT INTERPRETATION
<18.0 U/mL NEGATIVE
18.0 - 21.9 U/mL EQUIVOCAL
>= 22.0 U/mL POSITIVE
****************************************************************************************************************************** **** HEMATOLOGY ****
1901 E. LINDEN AVE. SUITE 4 LINDEN, NJ 07036
(908)474-1004 Fax: (908)474-0032 YYYY@YYYY
Acct: THE PETTERUTI CENTER 10192 250 CENTERVILLE RD, BLDG E
WARWICK, RI 02886
(401) 921-5934 Phys:
Patient:
Phone: (401) 921-5934 ID#: A0000 Route#: 1254
Fasting: N
Age: 53 Sex: M Room# Page: 2
Acc# 0000 Chart#
First reported on:
Coll. Date:08/01/18 Coll. Time:01:30 PM 08/03/18
Recv. Date: 08/03/18 Recv. Time: 04:16 AM Final report date:
Print Date: 08/03/18 Print Time: 10:22 08/03/18
Test Name
Normal
Out of Range
Normal Range
Units
**** HEMATOLOGY **** (Continued)
HEPATITIS C AB
****HIV****
HIV COMBO AG AND AB 4TH GENERATION
HIV COMBO AG/AB 4TH GEN
****IMMUNITY, VIRAL****
HETEROPHILE SCREEN
EBV PANEL
EBV IGG VCA
EBV IGM VCA
NONREACTIVE NEGATIVE
NONREACTIVE
Tech:NILDA Date:08/03/18 06:28
NEGATIVE
Tech:DRUIZ Date:08/03/18 10:06
0 - 17.9 U/mL
0 - 35.9 U/mL
Laboratory Director:
Ghazala Nathu, MD, Ph.D,FACB
0.02
188
0.6
Recommended Cardiac risk assessment categories:
BASOPHILS #
****CHEMISTRY****
LDH
**** INFLAMMATION ****
CRP CARDIO/NEO (HS)
****HEPATITIS****
HEPATITIS B CORE ANTIBODY NON REAC HEPATITIS B CORE ANTIBODY IGM
HEPATITIS B CORE IGM AB NONREACTIVE
HEPATITIS B SCREENING PROFILE
HEPATITIS B SURFACE ANTIGEN
HEPATITIS B SURF.AG. NONREACTIVE
HEPATITIS B SURFACE ANTIBODY HEPATITIS B SURFACE AB
0.0 - 0.1 10^3/uL
89 - 271 U/L
0.0 - 3.0 mg/L
Tech:TLALO Date:08/03/18 06:06
NON REAC NON REAC
Tech:TLALO Date:08/03/18 06:06
NONREACTIVE
0 - 9.9 mIU/mL
NONREACTIVE
LOW
AVERAGE
HIGH
LEVELS OF CRP >10 mg/L SHOULD BE EVALUATED FOR
OTHER NON-CARDIOVASCULAR ORIGINS.
<1.0 mg/L
1.0-3.0 mg/L
>3.0 mg/L
INTERPRETATIONS:
<10 = NO IMMUNITY/NON-REACTIVE
>=10 = IMMUNITY/REACTIVE
NONREACTIVE
10.1 H
REACTIVE HEPATITIS C WILL BE CONFIRMED BY ALTERNATE METHOD.
RESULT INTERPRETATION
<18.0 U/mL NEGATIVE
18.0 - 21.9 U/mL EQUIVOCAL
>= 22.0 U/mL POSITIVE
<10.0 Negative
RESULT INTERPRETAION
<36.0 U/mL NEGATIVE
(Continued on Next Page)
181.00 Positive
1901 E. LINDEN AVE. SUITE 4 LINDEN, NJ 07036
(908)474-1004 Fax: (908)474-0032 YYYY@YYYY
Acct: THE PETTERUTI CENTER 10192 250 CENTERVILLE RD, BLDG E
WARWICK, RI 02886
(401) 921-5934 Phys:
Patient:
Phone: (401) 921-5934 ID#: A0000 Route#: 1254
Fasting: N
Age: 53 Sex: M Room# Page: 3
Acc# 0000 Chart#
First reported on:
Coll. Date:08/01/18 Coll. Time:01:30 PM 08/03/18
Recv. Date: 08/03/18 Recv. Time: 04:16 AM Final report date:
Print Date: 08/03/18 Print Time: 10:22 08/03/18
Test Name
Normal
Out of Range
Normal Range
Units
****IMMUNITY, VIRAL**** (Continued)
36.0 - 43.9 U/mL EQUIVOCAL
>= 44.0 U/mL POSITIVE
EBV NUCLEAR AG IGG
>600 Positive
0 - 17.9 U/mL
0 - 8.9 U/mL
EBV EARLY AG
RESULT INTERPRETATION
<18.0 U/mL NEGATIVE
18.0 - 21.9 U/mL EQUIVOCAL
>= 22.0 U/mL POSITIVE
<5.00 Negative
RESULT INTERPRETATION
<9.0 U/mL NEGATIVE
9.0 - 10.9 U/mL EQUIVOCAL
>=11.0 U/mL POSITIVE
EBV AB INTERPRETATION ***
COMMENTS:
NOTE: The magnitude of the measured result is not indicative of the
amount of antibody present.
FAX#0000
------------------------------ END OF REPORT ------------------------------
Laboratory Director:
Ghazala Nathu, MD, Ph.D,FACB
**********************************************OUT OF RANGE SUMMARY**********************************************
HEPATITIS B SURFACE ANTIBODY
HEPATITIS B SURFACE AB 10.1 H
0 - 9.9 mIU/mL
0 - 17.9 U/mL
0 - 17.9 U/mL
EBV IGG VCA
181.00 Positive
>600 Positive
EBV NUCLEAR AG IGG
CBC
WBC 4.7 RBC 4.93 HEMOGLOBIN 15.0
HEMATOCRIT 45 MCV 92 MCH 30.4 MCHC 33.2 RDW 13.4
PLATELET .
PLTS CLUMPED
Tech:KEITH Date:08/03/18 06:53
4.2 - 11.8 10^3/uL
4.4 - 5.8 10^6/uL 13.1 - 17.1 g/dL
40 - 50.4 % 80.8 - 97.4 fL 26.6 - 33.0 pg
32 - 34.9 g/dL 11.8 - 15.5 %
147 - 365 10^3/uL
Tech:CHUCK Date:08/03/18 10:22
43.7 - 73.5 %
1.9 - 7.5 10^3/uL
17.9 - 45.1 %
1 - 4 10^3/uL
3.8 - 10 %
0.2 - 0.9 10^3/uL 0.0 - 6.1 %
0.0 - 0.5 10^3/uL 0.0 - 0.9 %
AUTOMATED DIFFERENTIAL
SEGMENTED % SEGMENTED # LYMPHOCYTES % LYMPHOCYTES # MONOCYTES % MONOCYTES # EOSINOPHILS % EOSINOPHILS # BASOPHILS %
59.0 2.8 30.61 1.4 8.7 0.4 1.17 0.05 0.46
(Continued on Next Page)
Laboratory Director:
Ghazala Nathu, MD, Ph.D,FACB
INTERPRETATIONS:
<10 = NO IMMUNITY/NON-REACTIVE
>=10 = IMMUNITY/REACTIVE
RESULT INTERPRETATION
<18.0 U/mL NEGATIVE
18.0 - 21.9 U/mL EQUIVOCAL
>= 22.0 U/mL POSITIVE
RESULT INTERPRETATION
<18.0 U/mL NEGATIVE
18.0 - 21.9 U/mL EQUIVOCAL
>= 22.0 U/mL POSITIVE
****************************************************************************************************************************** **** HEMATOLOGY ****
1901 E. LINDEN AVE. SUITE 4 LINDEN, NJ 07036
(908)474-1004 Fax: (908)474-0032 YYYY@YYYY
Acct: THE PETTERUTI CENTER 10192 250 CENTERVILLE RD, BLDG E
WARWICK, RI 02886
(401) 921-5934 Phys:
Patient:
Phone: (401) 921-5934 ID#: A0000 Route#: 1254
Fasting: N
Age: 53 Sex: M Room# Page: 2
Acc# 0000 Chart#
First reported on:
Coll. Date:08/01/18 Coll. Time:01:30 PM 08/03/18
Recv. Date: 08/03/18 Recv. Time: 04:16 AM Final report date:
Print Date: 08/03/18 Print Time: 10:22 08/03/18
Test Name
Normal
Out of Range
Normal Range
Units
**** HEMATOLOGY **** (Continued)
HEPATITIS C AB
****HIV****
HIV COMBO AG AND AB 4TH GENERATION
HIV COMBO AG/AB 4TH GEN
****IMMUNITY, VIRAL****
HETEROPHILE SCREEN
EBV PANEL
EBV IGG VCA
EBV IGM VCA
NONREACTIVE NEGATIVE
NONREACTIVE
Tech:NILDA Date:08/03/18 06:28
NEGATIVE
Tech:DRUIZ Date:08/03/18 10:06
0 - 17.9 U/mL
0 - 35.9 U/mL
Laboratory Director:
Ghazala Nathu, MD, Ph.D,FACB
0.02
188
0.6
Recommended Cardiac risk assessment categories:
BASOPHILS #
****CHEMISTRY****
LDH
**** INFLAMMATION ****
CRP CARDIO/NEO (HS)
****HEPATITIS****
HEPATITIS B CORE ANTIBODY NON REAC HEPATITIS B CORE ANTIBODY IGM
HEPATITIS B CORE IGM AB NONREACTIVE
HEPATITIS B SCREENING PROFILE
HEPATITIS B SURFACE ANTIGEN
HEPATITIS B SURF.AG. NONREACTIVE
HEPATITIS B SURFACE ANTIBODY HEPATITIS B SURFACE AB
0.0 - 0.1 10^3/uL
89 - 271 U/L
0.0 - 3.0 mg/L
Tech:TLALO Date:08/03/18 06:06
NON REAC NON REAC
Tech:TLALO Date:08/03/18 06:06
NONREACTIVE
0 - 9.9 mIU/mL
NONREACTIVE
LOW
AVERAGE
HIGH
LEVELS OF CRP >10 mg/L SHOULD BE EVALUATED FOR
OTHER NON-CARDIOVASCULAR ORIGINS.
<1.0 mg/L
1.0-3.0 mg/L
>3.0 mg/L
INTERPRETATIONS:
<10 = NO IMMUNITY/NON-REACTIVE
>=10 = IMMUNITY/REACTIVE
NONREACTIVE
10.1 H
REACTIVE HEPATITIS C WILL BE CONFIRMED BY ALTERNATE METHOD.
RESULT INTERPRETATION
<18.0 U/mL NEGATIVE
18.0 - 21.9 U/mL EQUIVOCAL
>= 22.0 U/mL POSITIVE
<10.0 Negative
RESULT INTERPRETAION
<36.0 U/mL NEGATIVE
(Continued on Next Page)
181.00 Positive
1901 E. LINDEN AVE. SUITE 4 LINDEN, NJ 07036
(908)474-1004 Fax: (908)474-0032 YYYY@YYYY
Acct: THE PETTERUTI CENTER 10192 250 CENTERVILLE RD, BLDG E
WARWICK, RI 02886
(401) 921-5934 Phys:
Patient:
Phone: (401) 921-5934 ID#: A0000 Route#: 1254
Fasting: N
Age: 53 Sex: M Room# Page: 3
Acc# 0000 Chart#
First reported on:
Coll. Date:08/01/18 Coll. Time:01:30 PM 08/03/18
Recv. Date: 08/03/18 Recv. Time: 04:16 AM Final report date:
Print Date: 08/03/18 Print Time: 10:22 08/03/18
Test Name
Normal
Out of Range
Normal Range
Units
****IMMUNITY, VIRAL**** (Continued)
36.0 - 43.9 U/mL EQUIVOCAL
>= 44.0 U/mL POSITIVE
EBV NUCLEAR AG IGG
>600 Positive
0 - 17.9 U/mL
0 - 8.9 U/mL
EBV EARLY AG
RESULT INTERPRETATION
<18.0 U/mL NEGATIVE
18.0 - 21.9 U/mL EQUIVOCAL
>= 22.0 U/mL POSITIVE
<5.00 Negative
RESULT INTERPRETATION
<9.0 U/mL NEGATIVE
9.0 - 10.9 U/mL EQUIVOCAL
>=11.0 U/mL POSITIVE
EBV AB INTERPRETATION ***
COMMENTS:
NOTE: The magnitude of the measured result is not indicative of the
amount of antibody present.
FAX#0000
------------------------------ END OF REPORT ------------------------------
Laboratory Director:
Ghazala Nathu, MD, Ph.D,FACB
Brief Answer:
You had EBV infection.
Detailed Answer:
hi,
I have gone through the reports you have attached.
Your symptoms are classical of EBV (epstein barr virus) infection.
This is also reflected in your blood reports.
Your EBV IgG antibodies are raised.
This suggests that that you had EBV infection which is now controlled.
Positive IgG antibodies with negative IgM antibodies are suggestive of past infection.
So you had EBV infection 3 weeks ago.
Please let me know
1. Do you still have those symptoms? What are your current symptoms?
2. Have you kissed someone 3-4 weeks back?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health.
Thanks.
You had EBV infection.
Detailed Answer:
hi,
I have gone through the reports you have attached.
Your symptoms are classical of EBV (epstein barr virus) infection.
This is also reflected in your blood reports.
Your EBV IgG antibodies are raised.
This suggests that that you had EBV infection which is now controlled.
Positive IgG antibodies with negative IgM antibodies are suggestive of past infection.
So you had EBV infection 3 weeks ago.
Please let me know
1. Do you still have those symptoms? What are your current symptoms?
2. Have you kissed someone 3-4 weeks back?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Yogesh D
thank you. Are there any specific immediate or long term health implications and is there anything I should be doing about them? thanks
Sorry, I didn’t see your follow up question. My symptoms have continued, but seem to be gradually improving.
I did kiss someone 3+ weeks ago and also abt 6 weeks ago. How long does it take for symptoms to appear and are there any long term complications that I should be concerned about? Thanks
I did kiss someone 3+ weeks ago and also abt 6 weeks ago. How long does it take for symptoms to appear and are there any long term complications that I should be concerned about? Thanks
Brief Answer:
The only worrisome complication is burkits lymphoma.
Detailed Answer:
hi,
I can understand your concern.
It is very difficult to say which kiss gives you EBV infection.
But possibility of kiss before 3+ weeks caused you infection more likely.
And the most worrisome complication is burkits lymphoma.
But it is not acute, it is chronic when repeated exposure occurs.
No specific treatment is available for EBV infection except wait and watch. It is self limiting and healing.
Please let me know whether you kissed same person or different persons 3 and 6 weeks back.
Also let me know if you have shared your glass (water or wine or soda) with someone.
I will be happy to help you further. Wish you good health.
Thanks.
The only worrisome complication is burkits lymphoma.
Detailed Answer:
hi,
I can understand your concern.
It is very difficult to say which kiss gives you EBV infection.
But possibility of kiss before 3+ weeks caused you infection more likely.
And the most worrisome complication is burkits lymphoma.
But it is not acute, it is chronic when repeated exposure occurs.
No specific treatment is available for EBV infection except wait and watch. It is self limiting and healing.
Please let me know whether you kissed same person or different persons 3 and 6 weeks back.
Also let me know if you have shared your glass (water or wine or soda) with someone.
I will be happy to help you further. Wish you good health.
Thanks.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
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