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CSF agglutination test
This test looks at fluid from your spinal cord to find out if you have an illness called brucellosis.
Brucellosis is an infectious disease usually caused by handling animals or milk products infected with the brucella bacteria. If you have brucellosis, your body will make certain antibodies when it tries to fight these germs. Brucella antibodies can usually be found in your blood, liver, spleen, lymph nodes, or bone marrow.
In 2% to 7% of brucella infections, the bacteria infect the brain, spine, and other parts of the nervous system. This test looks at your cerebrospinal fluid (CSF) to find out if you have a brucella infection that has spread to your nervous system.
The disease is rare in the U.S. Fewer than 200 cases are reported here each year. It's more commonly found in Latin America, the Middle East, and the Mediterranean. This is why it's often called Mediterranean or Malta fever. It's also called undulant fever, Bang's disease, and Gibraltar fever.
If brucellosis isn't treated after a few months, you may start to feel unusually weak. You may also get a fever and chills, headaches, backache, muscle and joint pain, and sweats. You may lose your appetite and appear anorexic. If untreated, the bacteria can sometimes damage the heart, joints, or central nervous system. Or they may cause infections that keep coming back. If you are pregnant and have brucellosis, it may cause a miscarriage or infect your unborn child.
You may have this test if your health care provider thinks you are infected with brucella bacteria and that the infection has spread to your brain. He or she may think this if:
You work in a slaughterhouse and have symptoms of the illness.
You work in a slaughterhouse, dairy, or farm and may have been in contact with the bacteria through a cut or open wound.
You hunt deer, wild pigs, or other animals and have symptoms of the illness. You may have been in contact while cleaning a carcass without gloves.
You have traveled to Spain, Greece, Mexico, or another country where brucellosis is common and have eaten unpasteurized milk, cheese, or ice cream.
You are a veterinarian and may have been come in contact with the bacteria. Or by accident you injected yourself with the vaccine used to protect cattle against brucella. People almost never get brucellosis from contact with dogs unless their immune system is very weak from HIV/AIDS or another condition.
You work in a laboratory where you handle brucella bacteria.
Your health care provider may also have ordered other tests before the spinal tap to find out whether you've come in contact with brucella bacteria.
Your provider may also order an MRI scan if you have back pain to see if you have damage to your spinal cord
Many things may affect your lab test results. These include the method each lab uses to do the test. Even if your test results are different from the normal value, you may not have a problem. To learn what the results mean for you, talk with your health care provider.
Normal results are negative. This means no brucella antibodies were found in your CSF. A negative result doesn't completely rule out an infection, though.
A positive result means that brucella antibodies were found and that you have an infection.
This test requires a sample of cerebrospinal fluid. This is taken through a lumbar puncture in your lower back. During this procedure, you either sit up and lean forward or lie down on your side. A health care provider inserts a needle into your spine and draws out a sample of fluid.
It's rare to get complications after having this test. But possible risks include:
Nerve pain or numbness
Talk with your provider about the risks before the test. Be sure to tell your provider if you've had a seizure, increased pressure in your eyes, or other health problems. You may need to have other tests before having a lumbar puncture.
Having the test too soon after infection can affect your results.
You don't need to prepare for this test.
Bayhealth is Southern Delaware’s healthcare leader with hospitals in Dover and in Milford. Bayhealth provides a wide range of medical services, including cardiovascular, cancer, orthopaedics and rehabilitation, pediatrics, respiratory care, sleep care, surgical weight loss and women’s services.