At present we have a patient with tetanus. Elevation of csf protein is a well known association. But our patient has a lymphocyte count of 125. Is it an expected finding?
Based on my experience with managing tetanus cases, I have never come across CSF pleocytosis. Maybe elevated CSF opening pressure during the time of spasms. I suggest you work up on the line of other ddx causing lymphocytic predominant CSF pleocytosis. Keep us updated. Best of luck.
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Tetanus: a toxin-mediated disease caused by Clostridium tetani, causes csf lymphocytosis in patients.It also causes T cell lymphocytosis and has adjuvant properties.