Results
A lumbar puncture was performed, but
cultures were sterile. Analysis of the
cerebrospinal fluid showed:
cultures were sterile. Analysis of the
cerebrospinal fluid showed:
Blood tests showed a raised white cell
count, elevated HbA1c and high ketone
levels. Liver function test results were
in the normal range.
count, elevated HbA1c and high ketone
levels. Liver function test results were
in the normal range.
Urine was strongly positive for glucose.
A CT scan showed a moderate sinus
infection with mucosal thickening,
resulting in obliteration of both sides of
the ostiomeatal complex and the frontal
recess.
infection with mucosal thickening,
resulting in obliteration of both sides of
the ostiomeatal complex and the frontal
recess.
MRI of Arjun's brain showed evidence
of multiple strokes due to blockage of
the right superior cerebellar artery,
extensive sinus infection on his right
side, widespread inflammatory changes
in the deep spaces of the right head
and neck and thrombosis in the right
cavernous sinus.
of multiple strokes due to blockage of
the right superior cerebellar artery,
extensive sinus infection on his right
side, widespread inflammatory changes
in the deep spaces of the right head
and neck and thrombosis in the right
cavernous sinus.
White blood cells – 255 x 106/L
Neutrophils – 82 x 106/L
Lymphocytes – 18 x 106/L
Red blood cells – 10 x 106/L
Glucose – 156 mg/dL (CSF:blood
ratio 0.78)
ratio 0.78)
Protein – 6 mg/dL
