[CIS PIDD] [cis-pidd] Chronic fatigue and EBV/CMV titers elevated.

[Wiens, Lynn A MD]

I don't want to make too much of this, but I have a 45 y/o female with
elevated titers to BOTH EBV and CMV.  Her symptoms are really very mild
but repeated labs show a similar profile:

1.	 EBV VCA IgG elevated at 5.4 (normal < 0.90)
2.	Normal EBV VCA IgM & anti-EBV Ear Ag
3.	EBNA elevated at 4.00 (normal < 0.89)
4.	CMV IgG EIA is usually 15-16 (normal < 0.79)

My interpretation is this represents previous infection, but I don't
want to miss any further evaluation.  Do elevated titers to both CMV and
EBV raise any concerns from immune standpoint? Thanks for any input. 

Lynn A. Wiens, MD
Warren Clinic
6160 South Yale Avenue  Tulsa, OK 74136
Specializing in the care of Allergy, Asthma, Sinus disease, and Chronic
Infections
http://tulsaallergynews.com
Office: 918-495-2636
Cell: 918-550-1200
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