Brucellosis: Lab Test

1st order laboratory parameters – obligatory laboratory tests.

  • Bacteriology (cultural): pathogen culture from blood (blood culture), bone marrow puncture, urine, cerebrospinal fluid, and joint puncture.
  • Serology: detection of AK against brucella
  • Differential blood count [lymphocytosis; monocytosis]
  • Small blood count
  • Inflammatory parameters – CRP (C-reactive protein) or PCT (procalcitonin).
  • Renal parameters – urea, creatinine.
  • Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH) and gamma-glutamyl transferase (gamma-GT, GGT) [transaminases ↑]
  • Coagulation parameters – Quick, PTT

The direct or indirect detection of the pathogen is reportable by name according to the Infection Protection Act (IfSG), as far as the evidence indicates an acute infection.