Case Report
Brucella Shunt Infection as a Rare Presentation of Neurobrucellosis
Table 1
Lab data during hospitalization.
| Day 1 | Day 3 | Day 5 | Day 7 |
| ESR = 49 mm/hr CRP = 12 mg/L (negative: <5) WBC = 11300/mcl Plt = 549000/mcl HB = 11.9 g/dl | Urine culture = negative Blood culture = negative | Blood culture = Brucella spp. CSF sample of VP shunt = Brucella spp. CSF sample of LP = negative | Wright = 1 : 320 Coombs Wright = 1 : 640 2ME = 1 : 320 Anti-Brucella IgG > 150 | CSF analysis | Shunt sample WBC = 100/mcl with 70% PMN Protein = 160 mg/dl RBC = 900/mcl Glucose = 20 mg/dl | LP sample WBC = 0–1/mcl RBC = 0–1/mcl Protein = 115 mg/dl Glucose = 10 |
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Abbreviations. CSF: cerebrospinal fluid, WBC = white blood cells, RBC = red blood cells, LP = lumbar puncture, 2ME = 2 mercapto ethanol agglutination test. |