Testing

From: 'Chronic Fatigue Syndrome, A Roadmap for Testing and Treatment' <a href="https://sites.google.com/site/cfstestingandtreatmentroadmap/home">https://sites.google.com/site/cfstestingandtreatmentroadmap/home</a>

Epstein-Barr virus antibodies. Dr A Martin Lerner says ME/CFS patients have an active EBV infection when there are elevated ELISA antibodies in the EBV IgM VCA test and/or the EBV EA diffuse test.<a href="http://www.treatmentcenterforcfs.com/documents/MECFSTreatmentResourceGuideforPractitioners.pdf" rel="nofollow" target="blank" >1</a> <a href="https://www.dovepress.com/subset-directed-antiviral-treatment-of-142-herpesvirus-patients-with-c-peer-reviewed-article-VAAT" target="blank" rel="nofollow" >2</a>

Similarly, Professor Jose Montoya considers that when the <a href="http://www.questdiagnostics.com/testcenter/TestDetail.action?ntc=38015" target="blank" rel="nofollow" >Quest EBV IgG VCA</a>test result is 1:640 or higher and/or the <a href="http://www.questdiagnostics.com/testcenter/TestDetail.action?ntc=15447" target="blank" rel="nofollow" >Quest EBV IgG EA</a> test result is 1:160or higher, this is indicative of an active EBV infection.<a href="http://www.ncbi.nlm.nih.gov/pubmed/23080504" rel="nofollow" target="_blank" >1</a>

Note that:

EA = early antigen

VCA = virus capsid antigen (also denoted by CA)

EBNA = Epstein-Barr nuclear antigen

Lymphocyte subset panel. If this test shows elevated CD8 T-cells, this can indicate an ongoing viral infection with EBV or cytomegalovirus, which both raise CD8 T-cells.<a href="http://www.sydpath.stvincents.com.au/tests/ImmunoFrames/lymphocytosis.htm" rel="nofollow" target="_blank" >1</a>