Active CMV Infection Blood Test

What is Active CMV Infection?

Active CMV infection is a viral illness caused by cytomegalovirus, a member of the herpes virus family that can cause serious complications in immunocompromised individuals, pregnant women, and newborns. It is caused by cytomegalovirus (CMV), which spreads through bodily fluids including saliva, blood, urine, semen, and breast milk. The Cytomegalovirus Antibodies IgG test is the most important test for diagnosis because it measures your immune system's response to the virus and helps distinguish between past exposure and active infection.

RECOMMENDED TEST Cytomegalovirus (CMV) Antibodies, IgG
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What causes active CMV infection?

Active CMV infection is caused by cytomegalovirus, a common virus in the herpes family that spreads through direct contact with bodily fluids. The virus transmits through saliva, blood, urine, semen, breast milk, and organ transplants. Most people contract CMV during childhood or early adulthood through casual contact, but the virus can reactivate later in life, especially when your immune system is weakened. People with HIV/AIDS, organ transplant recipients taking immunosuppressive drugs, and pregnant women are particularly vulnerable to active CMV infections that can cause serious health complications.

What is the best test for active CMV infection?

The Cytomegalovirus Antibodies IgG test is the most important test for active CMV infection because it measures the specific antibodies your immune system produces in response to the virus. High levels of CMV IgG antibodies indicate your body is actively fighting the infection or has recently been exposed to the virus. This test helps healthcare providers distinguish between a current active infection and past exposure to CMV. The presence and concentration of these antibodies, combined with your symptoms and medical history, allows doctors to confirm CMV infection status and determine the appropriate treatment plan, especially for immunocompromised patients who may need antiviral medications.

When should I get tested for active CMV infection?

You should get tested if you experience prolonged fever, extreme fatigue, swollen lymph nodes, sore throat, or muscle aches that last for weeks without improvement. Testing is especially important if you are pregnant, have a weakened immune system due to HIV/AIDS or cancer treatment, or are preparing for or recovering from an organ transplant. You should also consider testing if you work in healthcare or childcare settings where CMV exposure is more common, or if your doctor suspects CMV as the cause of unexplained symptoms like liver inflammation or vision problems.

What are the symptoms of active CMV infection?
Most healthy people with active CMV infection experience mild symptoms resembling mononucleosis, including prolonged fever, severe fatigue, sore throat, swollen lymph nodes, and muscle aches. Some people develop no symptoms at all, making the infection difficult to detect without testing. In immunocompromised individuals, symptoms can be severe and include pneumonia, hepatitis, encephalitis, vision problems from retinitis, and gastrointestinal issues like diarrhea and abdominal pain. Newborns infected during pregnancy may show signs like jaundice, enlarged liver and spleen, microcephaly, seizures, and hearing loss that can lead to developmental delays.
Who is at risk for active CMV infection?
People with weakened immune systems face the highest risk, including those with HIV/AIDS, cancer patients undergoing chemotherapy, and organ transplant recipients taking immunosuppressive medications. Pregnant women are at risk because CMV can cross the placenta and infect the developing baby, potentially causing birth defects or developmental problems. Healthcare workers, daycare providers, and parents of young children have increased exposure risk because CMV spreads easily through contact with saliva and urine. People who receive blood transfusions or organ transplants can contract CMV from infected donors if the blood or organ was not properly screened.
What happens if active CMV infection is left untreated?
In immunocompromised individuals, untreated active CMV infection can progress to life-threatening complications including CMV pneumonia, hepatitis that damages the liver, colitis causing severe gastrointestinal bleeding, and encephalitis affecting brain function. CMV retinitis can lead to permanent vision loss and blindness if not treated promptly with antiviral medications. Pregnant women with untreated CMV can pass the virus to their baby, resulting in congenital CMV syndrome that causes hearing loss, vision impairment, intellectual disabilities, and seizures. In transplant recipients, uncontrolled CMV increases the risk of organ rejection and can severely compromise the success of the transplant, requiring aggressive antiviral therapy to prevent organ failure.
Can active CMV infection be diagnosed with a blood test?
Yes, active CMV infection is diagnosed with blood tests that detect antibodies your immune system produces in response to the virus. The Cytomegalovirus Antibodies IgG test measures IgG antibodies that indicate current or past infection, while IgM antibodies suggest a recent or acute infection. Blood tests can also detect CMV DNA through PCR testing, which identifies the actual virus in your bloodstream and helps determine viral load. Your doctor may order a combination of these tests to distinguish between a new infection, reactivation of a previous infection, or past exposure, ensuring accurate diagnosis and appropriate treatment decisions.
How is active CMV infection treated?
Most healthy people with active CMV infection do not require specific treatment because their immune system controls the virus naturally, with symptoms resolving within a few weeks. Immunocompromised patients need antiviral medications such as ganciclovir, valganciclovir, foscarnet, or cidofovir to prevent serious complications and control viral replication. Treatment duration varies from weeks to months depending on the severity of infection and immune system status. Pregnant women with active CMV may receive hyperimmune globulin to reduce transmission risk to the baby. Supportive care including rest, hydration, and pain relievers helps manage symptoms while the body fights the infection or antiviral medications take effect.
How can I prevent active CMV infection?
Practice frequent handwashing with soap and water, especially after changing diapers, feeding young children, or wiping a child's nose or drool, since CMV spreads through saliva and urine. Avoid sharing food, drinks, utensils, and personal items like toothbrushes with young children or anyone who might be infected. Pregnant women and immunocompromised individuals should be particularly cautious around young children in daycare settings where CMV transmission is common. Healthcare workers should follow proper infection control procedures including wearing gloves when handling bodily fluids. If you are planning an organ transplant, ensure both donor and recipient are tested for CMV to prevent transmission, and discuss preventive antiviral therapy with your doctor if you are at high risk.
What natural remedies help with active CMV infection?
While natural remedies cannot cure CMV, they can support your immune system during recovery. Get plenty of rest to allow your body to focus energy on fighting the infection, and stay well-hydrated by drinking water, herbal teas, and broths to help flush toxins and maintain immune function. Eat a nutrient-rich diet with plenty of fruits, vegetables, lean proteins, and foods high in vitamin C, vitamin D, and zinc to strengthen immune response. Consider immune-supporting supplements like elderberry, echinacea, and probiotics after consulting with your healthcare provider. Manage stress through meditation, gentle yoga, or deep breathing exercises, as chronic stress weakens immunity and can allow viral reactivation. These supportive measures work best alongside medical treatment, especially for high-risk individuals who require antiviral medications.
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Cytomegalovirus Antibody (IgG) Negative
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Negative

What this means

Your test came back negative, meaning no CMV IgG antibodies were detected in your blood. This indicates you've never been infected with Cytomegalovirus and do not have immunity to it. If you're pregnant or planning pregnancy, your doctor may recommend precautions to avoid exposure.

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* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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Cytomegalovirus (CMV) Antibodies, IgG
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