Bilateral cerebral infarction in diabetic ketoacidosis and bilateral internal carotid artery occlusion: A case report and review of literature

Table 1 Arterial blood gas analysis during hospitalization

Arterial blood gas	Reference range	Day 2	Day 3	Day 4	Day 5	Day 6	Day 8	Day 14	Day 17	Day 22
pH	7.35-7.45	7.255	7.326	7.39	7.411	7.211	7.433	7.368	7.258	7.372
PCO2 (mmHg)	35-45	15.9	18.1	22.7	20.1	17.4	24.6	31	51	34.4
HCO3 (mmol/L)	22-26	7.1	9.5	13.9	12.9	7.0	16.6	18.0	23.0	20.2
Base excess (mmol/L)	-2 to +2	-16.8	-13.4	-8.6	-9.0	-18.1	-5.1	-5.8	-3.9	-3.9

Day 2: Diabetic ketoacidosis onset; Day 6: Secondary stroke onset.

Table 2 Blood examinations during hospitalization

Biochemical data	Reference range	Day 2	Day 4	Day 6	Day 8	Day 10	Day 14	Day 17	Day 22
WBC (/μL)	4000-11000	8600	16600	32510	-	19890	18930	13520	13870
Neutrophil (%)	40-75	61.2	89	87	-	70.8	75	81.3	59.2
Hemoglobin (g/dL)	12-16	14.3	13.5	-	-	13.8	11.7	10.3	-
Platelet (/μL)	150000-400000	250000	356000	-	-	181000	-	472000	-
Sodium (mmol/L)	136-144	134	148	146	180	166	152	154	-
Potassium (mmol/L)	3.6-5.1	4.3	3.1	3.4	3.0	3.8	4.3	3.6	-
Creatinine (mg/dL)	0.44-1.03	0.75	0.74	-	-	1.59	2.94	2.49	1.55
C-reactive protein (mg/dL)	< 0.748	1.345	-	-	-	-	-	-	-

Day 2: Diabetic ketoacidosis onset; Day 6: Secondary stroke onset. WBC: White blood cell.

Table 3 Thyroid function at admission and stroke survey after the second stroke

Biochemical data	Reference range	Day 2	Day 7
Free T4 (ng/dL)	1.04-1.27	1.04	-
TSH (μIU/mL)	0.38-5.33	2.58	-
T3 (ng/dL)	76-155	53.5	-
Complement C3 (mg/dL)	79-152	-	70.9
Complement C4 (mg/dL)	16-38	-	21
ANA (titer)	< 1: 80X	-	Homogeneous type 1: 80X
Anti-dsDNA (IU/mL)	< 200	-	62.33
ANCA (titer)	Negative (< 1: 40X)	-	Negative

Day 2: Diabetic ketoacidosis onset; Day 6: Secondary stroke onset. TSH: Thyroid stimulating hormone; ANA: Antinuclear antibodies; ANCA: Anti-neutrophil cytoplasmic antibodies.