Description
A 43 year old lady presented to the ENT department with a long history of rhinitis and nasal discharge.
This was thought to be allergic rhinitis and was first treated with antibiotics and then Dexa-Rhinaspray which improved her nasal symptoms. Three years later she was admitted to hospital with a history of headache, stiff neck, vomiting and photophobia. A CT scan of the head was normal and a lumber puncture was performed to obtain cerebrospinal fluid (CSF). The following CSF results were obtained:
