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Epstein-Barr virus (mono)

EBV test · Epstein-Barr antibodies · mono test · mononucleosis test · glandular fever test

This blood test looks for antibodies to the Epstein-Barr virus. It helps show whether you have mono now or had it before.

For a long fever, a very sore throat, swollen glands in the neck, and weakness. It is common in children and teenagers.

⏱ Duration: the blood draw takes a few minutes; results usually come in 1 to 3 days

Be sure to tell your doctor

How to prepare

  • Food. You usually do not need to fast strictly, but it is better to come 3 to 4 hours after a light, non-fatty meal. Check with the lab.
  • Medicines. Do not stop anything on your own. Tell your doctor what you take. They will decide if anything needs to change before the test.
  • Your child. If a child is being tested, tell them there will be a quick prick. Bring water and a snack for afterward.
  • Clothing. A sleeve you can easily roll up above the elbow.

What to bring

  • Your referral or list of tests
  • Your ID
  • Your complete blood count, if you already had one

How it goes

  1. You sit down and rest your arm on the armrest
  2. A band is tied above your elbow, and you are asked to clench your fist a few times
  3. The skin is wiped with antiseptic
  4. A quick prick. Blood fills the tubes in a few seconds
  5. The needle comes out, and a cotton pad is pressed on the spot

What you'll feel

  • A quick prick, like a pinch
  • Sometimes slight dizziness. Tell the nurse, and they will help you lie down
  • A child may get scared. Stay close and hold their hand

Afterwards

  • Press the cotton pad for 3 to 5 minutes
  • Until your doctor says otherwise: no sports or rough play. Mono makes the spleen bigger
  • Your doctor will explain the result. Usually several types of antibodies are checked

Contact a doctor straight away if

  • Sudden pain on the left side of the belly, weakness, or paleness: call emergency services
  • Trouble breathing or swallowing: call emergency services
  • Fever lasting more than a week: tell your doctor

Common questions

How does Epstein-Barr virus spread?

Mostly through saliva: kissing, shared cups, and toys. Most people get it in childhood.

Why no sports?

With mono, the spleen is enlarged and can be injured by a hit. Your doctor will say when you can go back to sports.