Other names for this test: CMV (serum), cytomegalovirus serologic test, cytomegalovirus antibody, CMV antibody, CMV IgG, CMV IgM
CMV causes an infectious mononucleosis syndrome clinically indistinguishable from heterophil positive mononucleosis.
Signs include fever, malaise, and increased transaminase levels without jaundice.
This marker aids in the determination of serological status to CMV. IgG antibodies rise gradually and persist for the rest of an individual's life. The specific IgG assay is useful in distinguishing who has been exposed to the virus from those who have not. Levels of IgM to hCMV usually increase for some weeks and decrease slowly thereafter, in four to six months. Occasionally, IgM may circulate for years.
Most adults are infected with CMV and it is normal to be a carrier of the virus.
What is the Cytomegalovirus test?
This test looks for antibodies to cytomegalovirus (CMV), a virus in the herpes family, in your blood.
CMV is so widespread that most people in the U.S. have been infected by the time they reach age 40. But many don't realize it. You can pick up the virus by handling or exchanging bodily fluids, such as saliva, blood, urine, breast milk, and semen. The virus usually causes only a mild illness. But it can do serious harm to unborn children, people with HIV/AIDS, or others with weak immune systems.
Antibodies are germ-fighting molecules that your immune system makes in response to infection. If you have CMV-specific antibodies in your blood, you may have a CMV infection.
Like other herpes family viruses, CMV hides in the body after the first infection and can flare up again. Later infections tend to be milder. In fact, in adults with a healthy immune system, the first infection may not have any symptoms.
Why do I need this test?
You may need this test if you have unexplained symptoms that resemble the flu. If you've been infected with the virus, you may have these signs and symptoms:
- Prolonged high fever
- Fatigue
- Loss of appetite
- Muscle and joint pain or stiffness
- Headache
- Sore throat
- Swollen lymph nodes
- Swollen liver and spleen
You may also have this test if you are pregnant, have HIV, or are a transplant donor or recipient. If you have a current infection, your healthcare provider can give you certain medicines to reduce the danger of congenital CMV in infants or of active illness in people with weakened immune systems.
Only a lab test can confirm that you have CMV.
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Cytomegalovirus (CMV) is a common virus belonging to the Herpesviridae family. CMV infections are widespread and can affect individuals of all ages. This virus may remain dormant within the body and periodically reactivate. While CMV infections are often asymptomatic or cause mild symptoms in healthy individuals, they can lead to more severe complications in those with weakened immune systems. In particular, CMV infections can pose risks to pregnant individuals and people with compromised immune function, such as transplant recipients or individuals with HIV/AIDS. Congenital CMV infection can be transmitted from a pregnant person to their baby and may lead to birth defects.
CMV is related to other herpesviruses like chickenpox, herpes simplex, and mononucleosis. It's essential to be aware of CMV, especially in certain medical contexts, to prevent and manage potential complications.
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A positive test for CMV IgG indicates that a person was infected with CMV at some time during their life but does not indicate when a person was infected. This applies for persons ≥12 months of age when maternal antibodies are no longer present.
If your IgG levels rise between the first and second test, that may mean you have an active infection. The fact that your IgG level increases is more important than the amount of IgG found. The increase shows that your immune system is busy fighting an infection and that the antibodies are not just leftover from an earlier fight.
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A positive CMV IgG result indicates exposure to Cytomegalovirus (CMV) at some point in the past but does not specify the timing of the infection. Here's what to do if you test positive for CMV IgG:
→ Consult a Healthcare Provider: If you test positive for CMV IgG, it's essential to consult a healthcare provider for further evaluation and guidance. They can assess your medical history, current health status, and the reason for the test.
→ Assess the Need for Treatment: In many cases, a positive CMV IgG result does not require treatment, especially if you are not experiencing active symptoms. CMV infections often remain dormant in healthy individuals and may not cause problems.
→ Special Considerations: If you are pregnant or have a weakened immune system, your healthcare provider will assess the specific circumstances. In pregnancy, CMV can pose risks to the fetus, and in immunocompromised individuals, it may lead to severe complications.
→ Prevention: Preventing new CMV infections is important, particularly for pregnant individuals. This involves practicing good hygiene, such as frequent handwashing, and taking precautions to avoid close contact with individuals who may have an active CMV infection.
→ Follow Medical Advice: If your healthcare provider determines that treatment is necessary or if you have specific medical conditions, they will provide you with a treatment plan, which may include antiviral medications. Follow their advice closely.
It's crucial to have a healthcare professional assess your individual case and provide personalized recommendations based on your health status and any specific risks or concerns associated with a positive CMV IgG result.
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