BACKGROUND: “Mycoplasma” refers to any organism within the class Mollicutes, composed of five genera (Mycoplasma, Ureaplasma, Acholeplasma, Anaeroplasma, and Asteroloplasma). Over 120 named “Mycoplasma” species exist with13 Mycoplasma species, two Acholeplasma species, and one Ureaplasma species have been isolated from humans. However, only three species are well-established human pathogens (but others likely exist): Mycoplasma pneumoniae, …
Pt A: 57 y/o female with h/o Sjogren’s, possible intestinal scleroderma/MCTD, chronic pain on 3-4 Tramadol a day and topical CBD oil, chronic low iron/ferritin, fatigue. I just diagnosed her with Lyme on Labcorp WB. 2 +IgM bands. Coinfections we know of: HHV6 6.62, neg EBV/CMV/mycoplasma/c.pneum/parvo etc. Labs: E2 <5 on low dose E2/P patch, …
18 yo M dx with AI CNS vasculitis that caused him to develop seizures. He has been on some sort of steroids since 3/2015. Prior to his seizures he had a severe case of herpes needing to be hospitalized and I have seen elevated IgG for CMV in past lab work. He is trying to …
QUESTION: As per your recommendation, I switched to LabCorp but noticed they report their viral results from Quest differently…for HHV 6 IgG < 1:10 is normal and for LabCorp < .76 is negative, for CMV IgG < .6 is normal vs < .9…is there a way to translate between these two ways of reporting results, …
QUESTION: I have a pt with Labrix urinary test showing low levels of neurotransmitters across the board (I.e. low serotonin, dopamine, norepinephrine, epinephrine, gaba, glutamate). Has used ecstasy regularly in the past – though not a giant dose and not more than once every 6 weeks according to pt. Also used Provigil off-label for depression for …
WELLBUTRIN, CHRONIC VIRI, NEUROTRANSMITTER TESTING, AND FATIGUE CONT Read More »
QUESTION: We have adopted using your viral panel. Could you explain how you interpret a positive IgG in any of the following: Chlamydia pneumoniae, Mycoplasma pneumoniae, Parvo, HHV 6, EBV. My understanding is that IgM being positive is current infection (and for EBV the early antigen). What if IgG is positive? Do you ever test …
QUESTION: Viral testing for CFS/fibromyalgia interpretation HHV6 IgG 1:160 H CMV IgG > 5.00 H EBV EA IgG EBV VCA IgM negative EBV VCA IgG 4.77 H EBV EBNA IgG >5.00 H Are the positive HHV6 and EBV results just indicating past infection (and not significant) but the CMV considered active and requiring tx? Is …
QUESTION: I have a patient and I’d like to draw her for the CMV, EBV, and HHV-6, we’ve tried a bunch of stuff already, but I’d like it to be covered. Thoughts? ANSWER: Generally, I do the following for chronic ID screening. The asterisk (*) ones are if we are limiting to ‘most likely’ positives …