July 2, 2015
Mononucleosis Spot Test
The mononucleosis spot test looks for two antibodies in the blood that appear during or after an infection with the virus that causes mono or mononucleosis.
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Back to TopAlternative Names
Monospot test; Heterophile antibody test; Heterophile agglutination test; Paul-Bunnell test; Forssman antibody test
Back to TopHow to Prepare for the Test
No special preparation is necessary.
Back to TopHow the Test Will Feel
When the needle is inserted to draw blood, you may feel moderate pain, or only a prick or stinging sensation. You may feel throbbing at the site of the needle stick for a few minutes after the blood is taken.
Back to TopWhy the Test Is Performed
The mononucleosis spot test is done when symptoms of mononucleosis are present. Common symptoms include:
- Large spleen (possibly)
- Sore throat
- Tender lymph nodes along the back of the neck
This test looks for antibodies that form in the body during the infection, called heterophile antibodies.
Back to TopNormal Results
A negative test means there were no heterophile antibodies detected. Most of the time this means you do not have infectious mononucleosis.
Sometimes, the test may be negative because it was done too soon (within 1 to 2 weeks) after the illness started. Your health care provider may repeat the test to make sure you do not have mono.
A small number of people with mononucleosis may never have a positive test.
Back to TopWhat Abnormal Results Mean
A positive test means heterophile antibodies are present. These are most often a sign of mononucleosis. Your health care provider will also consider other blood test results and your symptoms.
Antibodies reach their peak levels in 2 to 5 weeks, and may be present for up to 1 year.
Rarely, the test may be positive even though you do not have mono. This is called a false-positive result and may occur in persons with:
- Leukemia or lymphoma
- Systemic lupus erythematosus (SLE)
Back to TopRisks
Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.
Other risks associated with having blood drawn are slight but may include:
- Excessive bleeding
- Fainting or feeling light-headed
- Hematoma (blood accumulating under the skin)
- Infection (a slight risk any time the skin is broken)
Back to TopReferences
Jenson HB. Epstein-Barr virus. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics . 19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 246.
Schooley RT. Epstein-Barr virus infection. In: Goldman L, Schafer AI, eds. Cecil Medicine . 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 385.
Weber R. Pharyngitis. In: Bope ET, Kellerman RD, eds. Conn's Current Therapy 2012 . 1st ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 1.
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