Understanding Lab Tests for CMV Mononucleosis or Hepatitis

Written by Private MD Labs Medical Writing Team • Last Updated: September 8, 2025

Cytomegalovirus (CMV) is a common virus that can cause mononucleosis-like symptoms or hepatitis-like illness, particularly in young adults and immunocompromised individuals. Unlike typical mononucleosis caused by Epstein-Barr virus, CMV-related conditions require specific blood tests for accurate diagnosis.

Recommended Test

Cytomegalovirus (CMV) Antibodies, IgG

This test measures IgG antibodies specific to CMV in the blood. Elevated levels of CMV IgG antibodies can indicate past or current CMV infection and may suggest CMV as the cause of mononucleosis-like symptoms or hepatitis-like illness, especially when clinical symptoms are present.

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What is CMV Mononucleosis or Hepatitis?

CMV mononucleosis presents with symptoms similar to classic mono, including fatigue, fever, and swollen lymph nodes. CMV can also cause hepatitis, leading to liver inflammation and elevated liver enzymes. Because these symptoms overlap with other conditions, specific laboratory testing is essential for proper diagnosis and treatment planning.

Diagnosing CMV-Related Conditions

Blood tests measuring CMV-specific antibodies are the primary method for diagnosing CMV infections. These tests can distinguish between past exposure and recent or active infection, which is crucial for determining the appropriate treatment approach.

Understanding Your Results

CMV antibody testing helps healthcare providers determine if your symptoms are related to CMV infection. Positive results, combined with clinical symptoms, can confirm the diagnosis and guide appropriate treatment decisions. Your healthcare provider may also recommend additional tests to assess liver function or rule out other causes.

Important Considerations

The information here is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for diagnosis and treatment.

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