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|  10-23-2009, 09:33 AM | #1 (permalink) | 
| Addict | 
				
				Help me decipher my herpes test results
			 I picked this up from he lab this morning. (and retyped it).  It looks like the first test they did came back positive, but has cases where it will be positive because of other things (says it cross reacts).  Maybe it's a cheap but broad test they do first to see if they need to do the more expensive more accurate test?  The more specific tests both seem clean.  Should I get retested to confirm, or do I need to even worry about it at all?  The possible exposure was about 3 months ago. Formatting is a bit messed up. Code: Test Name                             In Range          Out of Range           Reference Range
HERPES SIMPLEX IGM W/RFX TITER
   HSV IGM AP SCREEN                                    DETECTED               NOT DETECTED
   HSV IGM AB TITER                                     20 H                   <10 titer
             This test does not distinguish between HSV 1 and HSV 2. A positive HSC
             IgM may indicate primary or reactivated infection. IgM antibody can
             persist 12+ months after primary infection. Cross reactions occur with
             varicella zoster, CMV and EBV. Herpes Simplex Virus 1 and 2 IgG type
             specific antibody (HerpeSelect), helps confirm and differentiate prior
             infection with HSV 1 or HSV 2.
HSV 1 IgG, HerpeSelect(TM)
   HSV 1 IgG                          0.12                                     index
                                 
                                 INDEX        INTERPRETATION
                                 ----------   --------------
                                < 0.90        NEGATIVE
                                0.90 - 1.10   EQUIVOCAL
                                > 1.10        POSITIVE
                                
                                THIS ASSAY IS TYPE SPECIFIC AND WILL DIFFERENTIATE
                                BETWEEN HSV-1 AND HSV-@ INFECTIONS. A SINGLE POSITIVE
                                RESULT ONLY INDICATES PREVIOUS IMMUNOLOGIC EXPOSURE
                                AND THE LEVEL OF ANTIBODY RESPONSE MAY NOT BE USED
                                TO DETERMINE ACTIVE INFECTION OR DISEASE STAGE. THE
                                TEST SHOULD BE REPEATED IN 4-6 WEEKS WHEN NEGATIVE OR
                                EQUIVOCAL RESULTS ARE OBTAINED IN SUSPECTED EARLY
                                HERPES SIMPLEX DISEASE.
                                
                                THE PERFORMANCE OF THIS ASSAY HAS NOT BEEN ESTABLISHED
                                FOR PEDIATRIC POPULATIONS, FOR NEONATAL SCREENING, OR
                                FOR THE TESTING OF IMMUNOCOMPROMIZED PATIENTS.
HSV 2 IgG, HerpeSelect(TM)
   HSV 2 IgG                          0.15                                     index
                                 
                                 INDEX        INTERPRETATION
                                 ----------   --------------
                                < 0.90        NEGATIVE
                                0.90 - 1.10   EQUIVOCAL
                                > 1.10        POSITIVE
                                
                                THIS ASSAY IS TYPE SPECIFIC AND WILL DIFFERENTIATE
                                BETWEEN HSV-1 AND HSV-2 INFECTIONS. A SINGLE POSITIVE
                                RESULT ONLY INDICATES PREVIOUS IMMUNOLOGIC EXPOSURE
                                AND THE LEVEL OF ANTIBODY RESPONSE MAY NOT BE USED
                                TO DETERMINE ACTIVE INFECTION OR DISEASE STAGE. THE
                                TEST SHOULD BE REPEATED IN 4-6 WEEKS WHEN NEGATIVE OR
                                EQUIVOCAL RESULTS ARE OBTAINED IN SUSPECTED EARLY
                                HERPES SIMPLEX DISEASE.
                                
                                THE PERFORMANCE OF THIS ASSAY HAS NOT BEEN ESTABLISHED
                                FOR PEDIATRIC POPULATIONS, FOR NEONATAL SCREENING, OR
                                FOR THE TESTING OF IMMUNOCOMPROMIZED PATIENTS. | 
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|  10-23-2009, 09:41 AM | #3 (permalink) | 
| Evil Priest: The Devil Made Me Do It! Location: Southern England | Both scores are below 0.90, so you're negative for both tests. 
				__________________ ╔═════════════════════════════════════════╗ Overhead, the Albatross hangs motionless upon the air, And deep beneath the rolling waves, In labyrinths of Coral Caves, The Echo of a distant time Comes willowing across the sand; And everthing is Green and Submarine ╚═════════════════════════════════════════╝ | 
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|  10-23-2009, 10:02 AM | #5 (permalink) | 
| Addict | I don't have a phone number for the lab, and I do have an appointment with my GP next week (they would not talk to me over the phone).  I don't want to spend several days worrying. The person I had exposure from tested positive for both HSV-1 and HSV-2 on a type-specific test. | 
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|  10-23-2009, 12:11 PM | #7 (permalink) | 
| Devoted Donor Location: New England | Initial screening tests should be designed to err on the side of "false positives", so at the moment, everything should be fine for you.  I have no idea what the gestation period is for herpes, anyone know?  Probably your doctor would. 
				__________________ I can't read your signature. Sorry. | 
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|  10-23-2009, 02:03 PM | #10 (permalink) | |
| I Confess a Shiver | Quote: 
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|  10-23-2009, 03:06 PM | #12 (permalink) | 
| Eccentric insomniac Location: North Carolina | Good news, You got two A's a B and a C! 
				__________________ "Socialism is a philosophy of failure, the creed of ignorance, and the gospel of envy, its inherent virtue is the equal sharing of misery." - Winston Churchill "All men dream: but not equally. Those who dream by night in the dusty recesses of their minds wake in the day to find that it was vanity: but the dreamers of the day are dangerous men, for they may act out their dream with open eyes, to make it possible." Seven Pillars of Wisdom, T.E. Lawrence | 
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|  10-23-2009, 03:19 PM | #13 (permalink) | 
| I Confess a Shiver | Oh holy shit, that's funny. ... Ya know, whenever I go to get tested (~6 months) at the Free Clinic: Yes, We Still Allow White People, they don't bother with the herp test while they're poking my balls and sucking my blood. They just look at HIV as far as the incurables go. They say the herp test is too expensive for what it is... "flaky and inconclusive" because it only states that you've been exposed but may not "have" it. The lack of faith in tests is kinda scary. Last edited by Plan9; 10-23-2009 at 03:24 PM.. | 
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|  10-23-2009, 03:28 PM | #14 (permalink) | 
| Crazy | This brings to mind that wonderful quote from Super Troopers: "...And that was the second time I got crabs." ---------- Post added at 04:28 PM ---------- Previous post was at 04:27 PM ---------- And no, doesn't look like you tested positive in either test. But I'm not a doctor, or a cryptologist, so ehhh 
				__________________ Focus. Control. Conviction. Resolve. A true ace lacks none of these attributes. Nothing can deter you from the task at hand except your own fears. This is your sky. | 
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|  10-23-2009, 05:59 PM | #15 (permalink) | 
| Extreme moderation Location: Kansas City, yo. | I don't understand how that is unreadable at all. It gives the criteria and your number right on there.   
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|  10-25-2009, 05:41 PM | #19 (permalink) | |
| I have eaten the slaw | Quote: 
 
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|  10-25-2009, 09:47 PM | #21 (permalink) | |
| Human Administrator Location: Chicago | Quote: 
 
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| herpes, results, std, test | 
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