Hypoglycorrhagia does not necessarily indicate infection

A case is reported illustrating two points: 1. haemorrhage can occur in cerebral infarct even without the use of anticoagulants; 2. this haemorrhage can extend into the subarachnoid space, causing chemical meningitis, and may produce moderately severe low CSF sugar. The importance of this point is emphasised when faced with a stroke patient who develops fever.