blueraven23 said:I was diagnosed with mononucleosis last week. I had some blood work done yesterday and the results just came in, but I'm currently away from my doctor and don't have anyone on hand to help me make sense of them. I’m not qualified to play doctor with my own data, so if there's a kind soul here who understands these numbers, I would truly appreciate the help.
Mononucleosis testing results came back:
EBV VCA IgM - negative.
EBV VCA IgG - positive - 110 AU/ml (positive >= 20)
EBV EA IgG - negative.
EBNA IgG - positive - 25 AU/ml (positive >=20)
CMV IgM - positive - 10.4 index (pos > 1.1)
CMV IgG - negative.
Blood work and liver enzyme results from yesterday are attached below.
http://upload.slike.com/slike/2014/0...x-Untitled.jpg
To whom it may concern,
Based on everything here, we’re looking at infectious mononucleosis. However, the serology suggests the culprit isn't Epstein-Barr virus. Usually, that's the main driver, but since your EBV VCA IgG and EBNA IgG came back positive while the EBV VCA IgM and EA IgG were negative, it indicates you've already cleared this specific infection—likely sometime in the past.
It’s likely that a different virus is behind your current symptoms—specifically Cytomegalovirus. Since your IgM came back positive but the IgG was negative, that points toward a recent infection. CMV isn't the most common culprit for mononucleosis, but it can certainly cause it, which seems to be what's happening in your case.
Take these results to your attending physician.
Greetings. 🙂
Maria Gray45 said:I saw my doctor, and she ordered a urine culture. The results came back sterile. She prescribed me Sinersul Forte, 800 mg every 12 hours for 10 days. I’m sitting here wondering if there’s actually any point in taking it.
To whom it may concern,
Nowadays, doctors aren't really prescribing Sinersul (co-trimoxazole) for acute urinary tract infections without an antibiogram first. Resistance rates among the most common pathogens have climbed too high for guesswork. It’s shifted more toward prophylaxis—using it to prevent recurrent infections rather than as a primary strike.
If that unpleasant odor in your urine persists alongside frequent trips to the bathroom, it’s time to push for further diagnostic testing.
Jesse Torres13 said:Could someone help me make sense of these lab results? I'm trying to figure out if my hormone levels are actually fine, aside from the TSH—which is the only thing my OBGYN flagged. I would be incredibly grateful for any insight.
P.S.: Sorry for the long post. :-)
Everything else looks fine and falls within the standard reference range. Your progesterone levels are elevated, which is expected given you're currently on Utrogestan.
wanderingowl19 said:I'm 22. A few months back, my Bilirubin spiked, and it hasn't settled down. If the normal range is roughly between 5 and 30, mine is sitting at 40 or 45. My doctor claims it’s nothing serious, but sent me for a battery of tests just to be safe. I’ve tested negative for HIV and hepatitis, and my jaundice markers came back clean—nothing like that going on. An Abdominal Ultrasound showed everything looks fine too. Now there's this Coombs test on the list, and I have no idea what that entails. Can anyone explain it? Also, it’s driving me crazy that my sclera are yellow. From what I gathered from the doctor, it's because my metabolism is sluggish. There was a phase where they were yellow, then they cleared up, but now they're back. The doctor suspects Gilbert syndrome, but the yellowing is still getting to me. Any advice on how to get rid of the yellowness? Thanks.
A direct Coombs test (done via bloodwork) checks for antibodies that attack erythrocytes—your red blood cells. Essentially, if those antibodies are present, the body is destroying its own red cells. Once they break down, Bilirubin levels climb, which leads to jaundice.
If we're talking about Gilbert syndrome, there isn't really a "fix" for the yellowing. It's just how things work. You can read more about it in this thread.