Medical Questions? Ask a Doctor Online!
What type of test was done to diagnose the CMV?When was the test done in relation to when you first noticed symptoms?Thank you.
Louise Sivak, M.D.
Thank you for the helpful additional information.
There are a number of viruses that cause "mononucleosis-like" syndromes: extreme fatigue, muscle aches, +/- sore throat, +/- fever, swollen glands mainly in neck and inside abdomen. The virus most easily tested for is Epstein-Barr (EBV) which causes "mono" but CMV is in the same virus family and causes the same pattern of symptoms. We test for CMV one or both of two ways: blood test for actual CMV titer (amount in the blood sample) or indirectly by blood test for antibodies from your normal immune system fighting CMV recently (IgM) or sometime in the past (IgG). Comparing the relative amounts can tell us approx when you got the virus; most people have been exposed to CMV (and so have anti-CMV IgG for their lifetime) after age 10-12.
Any of these viruses can pretty much take a person down! It is not atypical to feel very tired for weeks, so try to give yourself time to recuperate. Get plenty of sleep if you can and try to eat healthy. It takes weeks for the swollen glands to decrease to normal size also and they may be a bit tender.
There is no specific treatment for these viruses.
If you feel worse in any way or your symptoms have not improved in 3-4 weeks, then it is worth calling your doctor again, but it can take some time to feel back to normal.
I hope this is helpful and please tell me if you have additional questions.
Great questions - sorry for the confusion.
Your doctor was smart to check for CMV when the EBV tests (I assume) came back showing no current or recent EBV. Your symptoms make total sense for "mono".
The "positive" result means (if i'm assuming right about what blood tests were done) that your blood shows recent CMV infection. Your swollen glands are your normal immune response fighting off the virus. Lymph nodes are collections of lymphocytes (infection fighting cells) so they swell with infections. The CMV is no longer active in your system, but evidence that it was there (your antibodies - like when you get a vaccine -) will be around for awhile.
You are most welcome!
Hope you feel better soon,