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

[Boyce, Thomas G., M.D.]

these are normal titers for someone with past infection with EBV and CMV.


Thomas G. Boyce, MD, MPH
Pediatric Infectious Diseases and Immunology
Mayo Clinic
email: boyce.thomas at mayo.edu
phone: 507-255-8464
fax: 507-255-7767


From: Wiens, Lynn A MD [mailto:lawiens at saintfrancis.com]
Sent: Monday, April 21, 2014 8:36 AM
To: CIS-PIDD
Cc: Murray, Debra L MD
Subject: [cis-pidd] Chronic fatigue and EBV/CMV titers elevated.


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

[Picture (Device Independent Bitmap)]

________________________________

Saint Francis Health System intends this email only for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If you have received this email in error, you are hereby notified that we do not consent to any reading, dissemination, distribution, or copying of this email and request you notify the sender immediately and destroy this transmission. Violators may be prosecuted under Federal law.


---

The CIS-PIDD listserv is supported by:

[http://www.clinimmsoc.org/UserFiles/image/cis-pidd-list-logo_v1.jpg]
The science & practice of human immunology

P: +1.414.224.8095
E: info at clinimmsoc.org<mailto:info at clinimmsoc.org>

Not a member of CIS? Please visit www.clinimmsoc.org<https://cis.execinc.com/edibo/Signup> to join!

You are currently subscribed to cis-pidd as: boyce.thomas at mayo.edu<mailto:boyce.thomas at mayo.edu>.
To unsubscribe click here: http://lm.clinimmsoc.org/u?id=183824398.f2b8412bd8ff7bcbcdffccce20d02a5f&n=T&l=cis-pidd&o=44795154

---
The CIS-PIDD listserv is supported by the Clinical Immunology Society
The science & practice of human immunology

P: +1.414.224.8095
E: info at clinimmsoc.org

Not a member of CIS? Please visit www.clinimmsoc.org to join!

You are currently subscribed to cis-pidd as: pagid at list.clinimmsoc.org.
To unsubscribe click here: http://lm.clinimmsoc.org/u?id=183939985.3ea13d40a15475ac00ebbd9cd8a37d6d&n=T&l=cis-pidd&o=44795185
or send a blank email to leave-44795185-183939985.3ea13d40a15475ac00ebbd9cd8a37d6d at lists.clinimmsoc.org
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://seven.pairlist.net/pipermail/pagid/attachments/20140421/acf7cf70/attachment.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: not available
Type: image/png
Size: 10024 bytes
Desc: image001.png
Url : <http://seven.pairlist.net/pipermail/pagid/attachments/20140421/acf7cf70/attachment-0001.png>