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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.