March 8, 2021 at 10:18 pm #73050RonMOSParticipant
Hi Terri. I appreciate your advice, dedication and hard work!
I’m Male in my mid 50’s and have always had HSV1 since childhood. In some instances, very severe. I’ve also recently had a significant case of Shingles and currently have a second outbreak, but less severe. AFTER a long marriage, as a single man, I had several sexual partners, but limited in the last several years. It’s been longer than 12 weeks since last activity.
However, this week, I tested positive for HSV1 (>62.20) (no surprise), but was surprised at the level. Seems high… More concerning is that I tested Positive for HSV2 (1.96). I believe the supplemental shows Negative. The line from LabCorp says “Positive A” Negative. Nurse told me that it meant that I had it in the past, but don’t any more. I’ve never had physical symptoms of HSV2 and always cautious due to various Fever Blisters.
I am devastated. Whole purpose of testing now was a shot to get back with my Ex. May still happen, but I would like to understand if I actually have HSV2 or not. I understand the Western Blot is the way to go to be certain. However, can I assume the Supplemental means I’ve never had HSV2? But if I have the Antibodies, means I’ve had it before? UGH Hindsight, guess I should have never had the test… Looking for advice on what to do next… Thanks!
March 18, 2021 at 12:35 pm #73088Terri WarrenKeymaster
To start, only 4% of people who get shingles, get it again, so I would be surprised though not shocked if you actually had a recurrence of the shingles. Where was the shingles outbreak?
A truly positive HSV 2 antibody test means you are infected and potentially infectious to others. There is no such thing as having it in the past only.
Your HSV 1 value is very normal for someone who has recurrent cold sores.
I’m not a believer in the LabCorp or quest confirmatory tests. We’ve had way too many western blots that don’t agree with these tests. If you were my patient, I would suggest you do the blot.
March 23, 2021 at 5:24 am #73122RonMOSParticipant
Thanks Terri. First bout was Shingles for sure. This last one I thought started with a spider bite on wrist. Large raised bump w a hole. Squeezed stuff out of it. Looked like it developed small round bumps on it and then started to spread toward elbow in direction i may have been scratching, irritating skin. Started first of January. Skin still little itchy and discolored, now in late March. Better and almost gone.
For HSV2, it sounds like HSV1 levels or shingles doesn’t impact HSV2 score/level? You also have low confidence in the baseline and the supplemental HSV2 test from LabCorp and only way to know is Western Blot? Retesting locally with same test would yield same results?
March 30, 2021 at 2:53 pm #73151Terri WarrenKeymaster
the HSV 1 can impact the HSV 2 result, sometimes giving a false positive result.
It sounds to me like your supplemental was positive or abnormal, is that not right?
I have low confidence in the confirmatory test IF it is positive, that’s correct. I’ve seen too many people get negative western blot results when they’ve had positive LabCorp supplemental positives.
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