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His white cell count was 14.87 × 103/mL and CRP and ESR were 100 mg/dl and 56 mm, respectively. CSF full report revealed increased protein (147 mg/dl) and reduced sugar (25 mg/dl). There were no cells in the CSF and culture, acid fast staining and TB PCR were negative. His serology, became positive for Brucella abortus and Brucella melitensis agglutination test with titres of 1:2560 and 1:1280, respectively. Meanwhile his blood culture yielded B.melitensis.

Neurobrucellosis complicated with lumbar epidural abscess; A shepherd’s agony