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. 2004 Aug;42(8):3381–3387. doi: 10.1128/JCM.42.8.3381-3387.2004

TABLE 2.

State-of-the-art interpretation of EBV-specific serological profiles for diagnoses

Heterophile antibodies Atypical lymphocytes VCA IgG VCA IgM EBNA-1 IgG Interpretation
± ± + + Acute infection
+ + Past infection
No infection
± ± + Indeterminatea
+ + + Indeterminatea
+ Indeterminatea
+ Not plausible
a

Further testing needed, such as avidity testing of VCA IgG, Western blot analysis, or PCR.