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Is CMV IgM Antibody Value Of 4.1 A Cause For Concern?
Question: i need an infectious disease dr
i have cmv igm ab of 4.1 when it should be 0.8
its been a month and a half and i still have a lowgrade fever
i have lot of weakness
to add to that i got nasal drip
i also get sweating at night like menopausal syndrome
i took claritin
i think it made me nervous
i have anxiety issues
what should i take instead of claritin
sudafed makes me sweat a ;lot at night especially
pl explain everything in detail
and please ask questions
at first they thought it ws lyme
my fever was 101 AT NITE and 100 .4 in the morning iwas bit by an insect at XXXXXXX beach near the seaweeds
i took doxycycline for 3 weeks
the infectious disease dr looked at my res and said that it was not lyme but cmv
please tell me how to get my energy back and also i get muscular cramps
i also am getting back ache and weakness
pl help me
how do i get rid of my fever it is 99.6and get my weakness back
my nailos break easily and skin gets easily cut and got panachea
i have cmv igm ab of 4.1 when it should be 0.8
its been a month and a half and i still have a lowgrade fever
i have lot of weakness
to add to that i got nasal drip
i also get sweating at night like menopausal syndrome
i took claritin
i think it made me nervous
i have anxiety issues
what should i take instead of claritin
sudafed makes me sweat a ;lot at night especially
pl explain everything in detail
and please ask questions
at first they thought it ws lyme
my fever was 101 AT NITE and 100 .4 in the morning iwas bit by an insect at XXXXXXX beach near the seaweeds
i took doxycycline for 3 weeks
the infectious disease dr looked at my res and said that it was not lyme but cmv
please tell me how to get my energy back and also i get muscular cramps
i also am getting back ache and weakness
pl help me
how do i get rid of my fever it is 99.6and get my weakness back
my nailos break easily and skin gets easily cut and got panachea
Brief Answer:
CMV infection and persistent symptoms
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
CMV IgM Antibody:
Detection of CMV-specific IgM is sometimes useful in the diagnosis of recent or active infection; however, circulating rheumatoid factors may result in occasional false-positive IgM tests.
Have you undergone test also for rheumatoid factor?
CMV can cause myriad of manifestations like prolonged high fevers , sometimes with chills, profound fatigue, and malaise, Myalgias, headache etc.However most patients recover without sequelae, although postviral asthenia
may persist for months. It is surprising that you continue to have many residual symptoms.So to that extent what is your immuno-competency status.Have you undergo serology for HIV infection also?
Claritin (Loratadine) is an antihistamine and is used to treat the symptoms of allergies, such as sneezing, watery eyes, and runny nose. Any other antihistamine (like levoctrizine or Fexofenadine) will give more or less same effects.
You are also hypothyroid and many symptoms which you are having may be related to thyroid dysfunction. I would suggest to repeat your Free T3,free T4 & TSH to know the level of control you are having now.
Till such time you get a firm diagnosis, you can take paracetamol for fever.
I would suggest ANA(Antinuclear antibody) screening for exclusion of Connective tissue disorder as work up of your FUO (Fever of unknown origin) since so far various empirical treatment including course of doxycycline did not work well.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
CMV infection and persistent symptoms
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
CMV IgM Antibody:
Detection of CMV-specific IgM is sometimes useful in the diagnosis of recent or active infection; however, circulating rheumatoid factors may result in occasional false-positive IgM tests.
Have you undergone test also for rheumatoid factor?
CMV can cause myriad of manifestations like prolonged high fevers , sometimes with chills, profound fatigue, and malaise, Myalgias, headache etc.However most patients recover without sequelae, although postviral asthenia
may persist for months. It is surprising that you continue to have many residual symptoms.So to that extent what is your immuno-competency status.Have you undergo serology for HIV infection also?
Claritin (Loratadine) is an antihistamine and is used to treat the symptoms of allergies, such as sneezing, watery eyes, and runny nose. Any other antihistamine (like levoctrizine or Fexofenadine) will give more or less same effects.
You are also hypothyroid and many symptoms which you are having may be related to thyroid dysfunction. I would suggest to repeat your Free T3,free T4 & TSH to know the level of control you are having now.
Till such time you get a firm diagnosis, you can take paracetamol for fever.
I would suggest ANA(Antinuclear antibody) screening for exclusion of Connective tissue disorder as work up of your FUO (Fever of unknown origin) since so far various empirical treatment including course of doxycycline did not work well.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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