Mononucleosis Test, Qualitative With Reflex to Titer on Positives*

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Turnaround Time: 1 - 2 days
CPT Code:

86308

Test Type: 1 mL Serum
Stability Time:

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x3

Reference Range:

Negative

Overview:

Detect heterophil antibodies related to infectious mononucleosis.

Rare patients may have positive heterophil agglutinins after a negative initial test. Ten percent of cases of true EBV mononucleosis may have negative heterophil agglutinins. These may be diagnosed with EBV specific tests.

A positive test in the presence of consistent clinical and/or hematologic findings confirms the diagnosis of infectious mononucleosis. Approximately 10% of mononucleosis syndromes are heterophil-negative. In some of these, antibody to specific Epstein-Barr viral antigen can be demonstrated. Others may be due to CMV, HSV, or toxoplasmosis. Although this classic test has excellent specificity, false-positive tests can occur and may lead to diagnostic confusion.

Collection Details:

Collection Instructions:

Red-top tube or gel-barrier tube.

Maintain specimen at room temperature.