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Epstein Barr Virus, Quantitative, Non-Blood

EBV DNA, EBV DNA PCR, EBV viral load, Epstein-Barr Virus, PTLD

Test Codes

BAL: EPIC: LAB1230168, Viracor: 4509; Bone Marrow: EPIC: LAB1230166, Viracor: 4504; Bronch Wash: EPIC: LAB1230172, Viracor: 4526; CSF: EPIC: LAB1230165, Viracor: 4503; Tissue: EPIC: LAB1230289, Viracor: 4506; Trach Aspirate: EPIC: LAB1230171, Viracor: 4519; Trach Wash: EPIC: LAB1230173, Viracor: 4548

Department

Send Outs

Specimen Collection Criteria

Collect: BAL, Bronch Wash, CSF, Tissue, Trach Aspirate or Trach Wash in a sterile screw-top tube. Bone Marrow in a Lavender-top EDTA tube.

Physician Office/Draw Specimen Preparation

CSF or Tissue (specimens do not need water, saline or other fluid media), keep frozen (-20°C/-4°F or below). Bone Marrow in a Lavender-top EDTA tube does not need to be centrifuged. BAL, Bronch Wash, Trach Aspirate, or Trach Wash, keep at room temp (2-8°C or 36-46°F). (Minimum: 0.5 mL)

Preparation for Courier Transport

Transport: 2.0 mL BAL, Bronch Wash, Trach Aspirate, Trach Wash, or Bone Marrow, keep at room temp (2-8°C or 36-46°F). (Minimum: 0.5 mL) Tissue and CSF must be frozen (-20°C/-4°F or below). (Minimum: 0.5 mL)

Rejection Criteria

Specimens not collected and processed as indicated.

In-Lab Processing

CSF or Tissue (specimens do not need water, saline or other fluid media), keep frozen (-20°C/-4°F or below). Bone Marrow in a Lavender-top EDTA tube does not need to be centrifuged. BAL, Bronch Wash, Trach Aspirate, or Trach Wash, keep at room temp (2-8°C or 36-46°F). (Minimum: 0.5 mL)

Storage

Specimen Stability for Testing:

All Specimen Types
Room temperature (20-26°C or 68-78.8°F): 7 days
Refrigerated (2-8°C or 36-46°F): 7 days
Frozen (-20°C/-4°F or below): 30 days

Specimen Storage in Department Prior to Disposal:

Specimen retention time is determined by the policy of the reference laboratory. Contact the Send Outs Laboratory with any questions. 

Laboratory

Sent to Eurofins/Viracor in Lenexa, KS.

Performed

Monday – Friday.
Results available in 1-3 days.

Reference Range

By report.

Test Methodology

Real-Time Polymerase Chain Reaction (PCR).

Interpretation

By report.

Clinical Disease

Epstein-Barr Virus (EBV) is the etiological agent of infectious mononucleosis and has been implicated in African Burkitt's lymphoma and nasopharyngeal carcinoma. Childhood infections may be asymptomatic or produce "flu-like" illness. Adolescents and adults who escape infection during childhood experience infectious mononucleosis (IM). IM is characterized by irregular fever, pharyngitis, and lymphadenopathy lasting 1 to 4 weeks. Hematological abnormalities include an absolute increase in lymphocytes and monocytes exceeding 50% and more than 15% atypical lymphocytes, lasting for at least 2 weeks. Liver function tests generally reveal a mild to moderate increase in SPGT, SGOT, bilirubin, and LDH levels. IM is usually a benign and self-limited disease. Complications including splenomegaly and splenic rupture, hepatitis, pericarditis, myocarditis, or central nervous system involvement (Guillain-Barre syndrome, Bell's palsy, transverse myelitis, and meningoencephalitis) may occur following IM infection. (1)

Epidemiology

EBV occurs throughout the world and more than 90% of adults have antibodies to the virus. Most individuals acquire EBV early in life. Seroepidemiologic studies have indicated that 50% of children have antibodies to the virus by the time they are 5 years of age. No seasonality has been demonstrated. (1)

Incubation Period

The incubation period is 4-7 weeks. (1)

Transmission

EBV is poorly contagious. Transmission is via salivary contact, either through kissing or by exposure to contaminated eating implements. (1)

Reference

1. Wiedbrauk D, Johnston SLG. Manual of Clinical Virology, Raven Press, New York, NY, 1993.

CPT Codes

87799

Contacts

Last Updated

9/19/2024