2 doctors weighed in:

My blood test says: red cells show rouleaux formation. I have an unknown neurological disorder could this mean I have an infection ?

2 doctors weighed in
Dr. Ed Friedlander
Pathology
1 doctor agrees

In brief: Ignore it

I would draw no conclusion from a mention of rouleaux.
Everybody's red cells do this to a greater or lesser extent. A relatively high total globulin of lowish a/g ratio would be more sensitive and specific for an underlying infectious etiology and neither would be so helpful as a proper medical workup. And occult CNS infectious are unlikely even to impact the blood proteins. Best wishes.

In brief: Ignore it

I would draw no conclusion from a mention of rouleaux.
Everybody's red cells do this to a greater or lesser extent. A relatively high total globulin of lowish a/g ratio would be more sensitive and specific for an underlying infectious etiology and neither would be so helpful as a proper medical workup. And occult CNS infectious are unlikely even to impact the blood proteins. Best wishes.
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