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Re: Conflicting test results -- your opinion pleaseFrom: 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
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