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

Abbreviations. CSF: cerebrospinal fluid, WBC = white blood cells, RBC = red blood cells, LP = lumbar puncture, 2ME = 2 mercapto ethanol agglutination test.