
What does my EBV IgG mean?
EBV-VCA IgG/IgM (viral capsid antigen): A positive IgG means you’ve had or currently have the infection; A positive IgM means the virus has been reactivated. EBV-EBNA IgG (nuclear antigen): A positive test result is usually associated with past infections. If playback doesn't begin shortly, try restarting your device.
What is EBV antigen?
Epstein-Barr virus ( EBV) antigen is an antigen associated with the Epstein-Barr virus. There are a number of EBV antigens associated with different stages of latency and infection. Laboratory testing can be used to look for specific antibodies to these antigens to screen someone for a history of infection…
What does a positive VZV IgG antibody detected mean?
VZV IgG testing is useful for the determination of an individual’s immune status and/or to aid in the diagnosis of varicella zoster infection. A positive VZV IgG result indicates the presence of antibodies to varicella zoster virus. The test cannot distinguish between past infection and current infection though, so a positive result could indicate active infection and not immunity.
What is EBV early antigen Ab IgG?
The EBV Early Antigen (EA) Antibodies IgG test looks for a type of antibody which the body typically develops in response to Epstein-Barr Virus . These antibodies usually develop in the acute phase of infection and fall below detectable levels after 3-6 months.

How long does EBV IgG stay positive?
Anti-EA IgG appears in the acute phase of illness and generally falls to undetectable levels after three to six months. In many people, detection of antibody to EA is a sign of active infection.
What causes positive EBV?
The Epstein-Barr virus causes infectious mononucleosis and other illnesses. It's spread primarily through saliva by kissing or sharing food and utensils. Many people are infected with EBV as children and don't have any symptoms. Mononucleosis occurs mostly in teens and adults.
What is considered a high EBV IgG level?
According to the manufacturer's recommendations, EBNA-1 IgG levels <5 U/ml were considered negative, levels between 5–20 U/ml were considered equivocal, and levels ≥20 U/ml were considered positive.
Will I always test positive for EBV?
Since approximately 90% of us have EBV, testing positive isn't significant unless you have EBV-like symptoms that can't be explained by another cause. Your medical provider will sort that out with you. Click here to read what the Centers for Disease Control and Prevention says about EBV.
What are two major symptoms of Epstein-Barr virus infection?
Symptomsfatigue.fever.inflamed throat.swollen lymph nodes in the neck.enlarged spleen.swollen liver.rash.
Is Epstein-Barr an STD?
Technically, yes, mono can be considered a sexually transmitted infection (STI). But that's not to say that all cases of mono are STIs. Mono, or infectious mononucleosis as you might hear your doctor call it, is a contagious disease caused by Epstein-Barr virus (EBV). EBV is a member of the herpesvirus family.
What are the symptoms of chronic Epstein Barr?
Chronic EBVswollen or tender lymph nodes.fever.enlarged liver (hepatomegaly) or spleen (splenomegaly)fatigue.sore throat.headache.muscle pain.joint stiffness.More items...
How do you interpret Epstein Barr results?
Understanding the resultsIf the antibody called VCA IgG is present, the Epstein-Barr virus has occurred at some time recently or in the past.If the VCA IgM antibody is present without the Epstein-Barr nuclear antigen (EBNA), the virus is likely to be currently active or occurred very recently.More items...
What condition is caused by Epstein-Barr virus?
EBV can cause infectious mononucleosis, also called mono, and other illnesses. Most people will get infected with EBV in their lifetime and will not have any symptoms. Mono caused by EBV is most common among teens and adults.
How do you permanently get rid of Epstein Barr?
EBV never truly goes away. Even if the symptoms subside, the virus will remain inactive inside your body until it is reactivated by a trigger. Some triggers include stress, a weakened immune system, taking immunosuppressants, or hormonal changes such as menopause.
What's the difference between mono and Epstein Barr?
Infectious mononucleosis, also called “mono,” is a contagious disease. Epstein-Barr virus (EBV) is the most common cause of infectious mononucleosis, but other viruses can also cause this disease. It is common among teenagers and young adults, especially college students.
How long is Epstein Barr contagious?
An Epstein-Barr virus is contagious during its long incubation period (four to seven weeks, see below) and then until symptoms are gone; however, there is evidence that some people may still spread the virus to others for many months even after symptoms are gone.
How long are you contagious with Epstein-Barr virus?
An Epstein-Barr virus is contagious during its long incubation period (four to seven weeks, see below) and then until symptoms are gone; however, there is evidence that some people may still spread the virus to others for many months even after symptoms are gone.
Is Epstein-Barr an autoimmune disorder?
Epstein-Barr infects B cells—a type of white blood cell in the immune system. This may explain the association between Epstein-Barr and the EBNA2 disorders: All seven are autoimmune diseases, conditions involving an abnormal immune response to a normal body part.
How do you get rid of Epstein-Barr virus?
There's no specific treatment or vaccine for EBV. And because they're caused by a virus, EBV infections don't respond to antibiotics....Treatment of EBVgetting enough rest.drinking plenty of fluids.taking over-the-counter pain relievers to ease fever or sore throat.avoiding contact sports or heavy lifting.
How contagious is Epstein-Barr?
Yes, Epstein-Barr virus is contagious. The virus can spread during the incubation period (amount of time when someone has exposure to the virus to when they experience symptoms), which is between four to six weeks. The virus spreads easily through saliva (spit) but can spread through other body fluids.
What Does It Mean If you Test Positive For Epstein Barr?
What does it mean if you test positive for Epstein-Barr? This is a common question when reviewing lab results with patients. Patients see that their results show positive next to some of their results. Naturally, they want to know what that means.
Testing Positive for Epstein Barr with Early Antigen D
The above video also shows another sample result of this early antigen D test. This test helps us differentiate when someone has a reactivation of the Epstein-Barr virus. We wouldn't look at this one to see if someone has a recent acute infection, however.
What is the interpretation of EBV?
The interpretation of EBV antibody tests requires familiarity with these tests and access to the patient’s clinical information. Interpretation of EBV antibody tests and diagnosis of EBV infection is summarized as follows: People are considered susceptible to EBV infection if they do not have antibodies to the VCA.
What is EBV testing?
Laboratory Testing. Epstein-Barr virus (EBV), also known as human herpesvirus 4, is a gamma herpes virus that occurs only in humans. Laboratory testing can help distinguish whether someone is susceptible to EBV infection or has a recent or past infection. Healthcare providers can test for antibodies to the following EBV-associated antigens: ...
How long does it take for an EBV antibody to disappear?
Anti-VCA IgM appears early in EBV infection and usually disappears within four to six weeks.
How long does it take for an anti-VCA IgG to disappear?
Anti-VCA IgM appears early in EBV infection and usually disappears within four to six weeks. Anti-VCA IgG appears in the acute phase of EBV infection, peaks at two to four weeks after onset, declines slightly then persists for the rest of a person’s life. Anti-EA IgG appears in the acute phase of illness and generally falls to undetectable levels ...
Can EBV be detected before diagnosis?
Resolution of the illness may occur before the diagnostic antibody levels appear. In rare cases, people with active EBV infections may not have detectable EBV-specific antibodies. Past infection. The presence of antibodies to both VCA and EBNA suggests past infection (from several months to years earlier).
Is EBV a primary infection?
People are considered susceptible to EBV infection if they do not have antibodies to the VCA. Primary (new or recent) infection. People are considered to have a primary EBV infection if they have anti-VCA IgM but do not have antibody to EBNA. Other results that strongly suggest a primary infection are a high or rising level ...
Can EBV be detected by antibody test?
EBV antibody tests are not usually needed to diagnose infectious mononucleosis. However, specific antibody tests may be needed to identify the cause of illness in people who do not have a typical case of infectious mononucleosis or have other illnesses that can be caused by EBV infection.
What is the VCA antibody?
Viral capsid antigen ( VCA) IgG antibodies are directed against the protein shell (capsid) of the virus. These antibodies typically appear at the same time as infection symptoms [ 2 ].
How long does it take for VCA IgM to disappear?
However, unlike VCA IgG antibodies, they disappear within a few weeks [ 16, 17 ].
How long does it take for Epstein-Barr antibodies to be detected?
Like their name suggests, they are found in the first 3-4 weeks of the infection and are no longer detectable after 3-4 months in most people [ 2, 23 ].
What is the Epstein-Barr virus?
Epstein-Barr Virus Basics. The Epstein-Barr virus ( EBV ), or human herpesvirus 4, is one of eight types of herpes viruses that are known to infect humans. EBV is extremely common: it is estimated that up to 90% of adults worldwide carry the virus [ 1, 2 ]. The virus usually does not cause any symptoms in children.
How long does it take for EBV to come back?
To test for EBV-specific antibodies, you will need to get your blood drawn. Results usually take a few days to come back.
What percentage of people tested have antibodies?
About 70% of people tested will have antibodies indicative of past infections [ 9 ]. After your body successfully fights the virus, it remains dormant in your cells and doesn’t cause any symptoms. However, it can be reactivated by stress or a weakened immune system [ 10 ].
Does EBV cause fever?
It causes sore throat, fatigue, and fever, among other symptoms [ 3 ]. EBV can increase the risk for certain cancers and immune system disorders and has been linked to multiple autoimmune disorders [ 4, 5, 6, 7, 8 ]. EBV is a virus that causes mononucleosis, also known as “kissing disease” in adolescents and adults.
What is the EBV VCA?
EBV-VCA, IgM is an antibody (protein) that is produced by the body in an immune response to an Epstein-Barr virus antigen.
What are antibodies in EBV?
The antibodies are proteins produced by the body in an immune response to several different Epstein-Barr virus antigens.
Why is differential diagnosis important?
Differential diagnosis is of major importance. Serological tests are very useful for the detection of anti-EBV IgG and IgM antibodies especially when heterophil antibodies are absent.
How long does it take for VCA to disappear?
VCA stands for Viral capsid antigen. – Anti-VCA IgM appears early in EBV infection and usually disappears within four to six weeks. – Anti-VCA IgG appears in the acute phase of EBV infection, peaks at two to four weeks after onset, declines slightly then persists for the rest of a person’s life.
Why is it important to distinguish EBV from other illnesses?
It can also be important to rule out EBV infection and to look for other causes of the symptoms. Those with strep throat, an infection caused by group A streptococcus, for instance, need to be identified and treated with antibiotics.
How to diagnose mono?
Diagnosis of mono: People with mono are typically diagnosed by their symptoms and the findings from a complete blood count (CBC) and a mono test (which tests for a heterophile antibody). About 25% of those with mono do not produce heterophile antibodies and will have a negative mono test; this is especially true with children.
When do VCA IgM antibodies disappear?
VCA IgM antibodies occur at the beginning of the disease but decrease or even disappear within a few months. The presence of VCA IgM and VCA IgG without EBNA-1 IgG indicates acute infection, whereas the presence of VCA IgG and EBNA-1 IgG without VCA IgM is typical of past infection.
What does EBV mean?
What does this mean? Epstein-Barr virus (EBV), is an extremely common virus that most of us contract at some point, often during childhood. Typically, symptoms are mild or largely unnoticeable. However, EBV can cause infectious mononucleosis, leaving one fatigued for weeks or even months.
Can you test positive for EBV?
Since approximately 90% of us have EBV, testing positive isn’t significant unless you have EBV-like symptoms that can’t be explained by another cause. Your medical provider will sort that out with you. Click here to read what the Centers for Disease Control and Prevention says about EBV.
Can EBV reactivate?
Once you have EBV, the virus lives in an inactive stage in your body. In some cases, the virus may reactivate, again with few or no symptoms. People with weakened immune systems are more susceptible to EBV reactivation and more likely to develop symptoms.
Can EBV cause cancer?
Chronic EBV infection is linked to cancers including Hodgkin lymphoma, Burkitt lymphoma and cancer of the nose and throat (nasopharyngeal cancer). Since approximately 90% of us have EBV, testing positive isn’t significant unless you have EBV-like symptoms that can’t be explained by another cause.
