If you look into EBV and what it can do to the body, I would suggest that if Lyme reactivated it, it seriously needs to be treated. Are all of your issues caused by it? Not likely, not if you have a positive test for Lyme or have a good clinical diagnosis, or mold too. But, if it's been reactivated, then it's active in your system. But,. if those are tests recently done, then I'd say that your infection has not been reactivated - it's like you said, a past infection.
It's easier to copy and paste than to try to describe how to find this info on the page (LOL), so here goes! It may be easier to read by going to the site though, just look under "What does the test result mean?"
/labtestsonline.org/tests/epstein-barr-virus-ebv-antibody-tests What does the test result mean?
Care must be taken when interpreting results of EBV antibody testing. The signs and symptoms as well as the medical history of the person tested must be taken into account. A healthcare practitioner may consult a specialist in infectious diseases, specifically one who is experienced with EBV testing.
If someone is positive for VCA-IgM antibodies, then it is likely that the person has an EBV infection and it may be early in the course of the illness. If the individual also has symptoms associated with mono, then it is most likely that the person will be diagnosed with mono, even if the mono test was negative.
If someone has positive VCA-IgG and EA-D IgG tests, then it is highly likely that the person has a current or recent EBV infection.
If the VCA-IgM is negative but VCA-IgG and an EBNA antibody are positive, then it is likely that the person tested had a previous EBV infection.
If an individual is asymptomatic and negative for VCA-IgG, then that person has likely not been previously exposed to EBV and is vulnerable to infection.
In general, rising VCA-IgG levels tend to indicate an active EBV infection, while falling concentrations tend to indicate a recent EBV infection that is resolving. However, care must be taken with interpreting EBV antibody concentrations because the amount of antibody present does not correlate with the severity of the infection or with the length of time it will last. High levels of VCA-IgG may be present and may persist at that concentration for the rest of a person's life.
Below, examples of some results are provided in table form.
Test results most likely indicate the following:
VCA-IgM VCA-IgG EA-D, IgG EBNA, IgG Possible Interpretation
Negative Negative Negative Negative No infection, symptoms due to another cause, susceptible to EBV infection
Positive Positive Negative Negative Early, primary infection
Neg. or pos. Positive Positive Negative Active infection, though EA-D IgG may persist for life in about
20% of people
Negative Positive Negative Positive Past infection
Negative Positive Positive Positive May indicate reactivation of virus
(It doesn't look like the site will allow me to keep the spacing needed for this chart - sorry!!)