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Re: Conflicting test results -- your opinion please

From: Richard Chudacoff, MD, FACOG (anonymous@obgyn.net)
Sat, 30 Mar 2002 20:02:29 -0600 (CST)


At Sat, 30 Mar 2002, Wendy wrote: >
>As anyone who has seen my previous posts will know, I had a positive IgG
>CMV titer on 2/25, 13.6, with 1.1 positive. On 3/7 I had a positive IgM
>titer of 2.57 with 1.1 positive. I went to another lab on 3/18, and my
>IgG was positive at 119.7 (with positive of 10 or greater), but my IgM
>was negative at .64 (positive at 1.1 or greater). Saw the MF, and he
>says that the first test may have been false positive, with IgG cross
>reactivity, and suggested 1) do nothing or 2) have an amnio at 17 weeks.
>I would like to avoid the amnio if I could get a confirmatory that this
>was indeed a false positive. I asked to be tested again from the
>original lab, and also for a urine culture and was told no.
>
>Do you feel that this could have been a false positive, and if I can get
>my new OB to have me tested again by the original lab, and its negative,
>that I'm "in the clear?" Would a urine culture even be accurate after
>this period of time?
>
>Could a IgM titer go from 2.57 to a .64 in 11 days? Also, is it too
>simplistic for me try to compare the two IgG numbers, by noting that
>they are both roughly 12 times greater than the reference positive?
>
>Your suggestions please.

I wish I could help you, but I do not know the answers to these questions

--
Richard Chudacoff, MD, FACOG
Chudacoff Obstetrics & Gynecology, PLLC
Sugar Land, TX

Note: opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

**Thank you for understanding :).**






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