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

[Sullivan, Kathleen]

Just means she is immune.  Normal in this case means non-immune.


Kate Sullivan, MD PhD
Wallace Chair of Pediatrics
Professor of Pediatrics
ARC 1216 Immunology CHOP
3615 Civic Center Blvd.
Philadelphia, PA 19104
(p) 215-590-1697
(f) 267-426-0363


On Apr 21, 2014, at 9:35 AM, Wiens, Lynn A MD <lawiens at saintfrancis.com> wrote:


> 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

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> 6160 South Yale Avenue  Tulsa, OK 74136

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> Specializing in the care of Allergy, Asthma, Sinus disease, and Chronic Infections

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> http://tulsaallergynews.com

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> Office: 918-495-2636

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> Cell: 918-550-1200

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