Case report: Iatrogenic cerebral spinal fluid leak after nasopharyngeal swab for diagnosis of SARS-CoV-2
DOI:
https://doi.org/10.52076/eacad-v4i1.259Keywords:
Spinal cerebrospinal fluid leak; Reverse transcriptase polymerase chain reaction; Iatrogenic disease; Sphenoid bone.Abstract
The diagnosis of COVID-19 relies on different confirmatory tests. The gold standard test is the reverse transcriptase reaction followed by the polymerase chain reaction (RT-PCR) for SARS-CoV-2, using a nasopharyngeal swab. However, this test may present complications that request literature discussion, like the perforation of skull base bones with the clinical outcome of iatrogenic cerebral spinal fluid leak (CSF leak). This study aims to report the case of iatrogenic CSF leak as a consequence of a nasopharyngeal swab test used for research of SARS-CoV-2 in a patient with no previous history of anatomical anomalies of the skull base. The outcome of the case was surgical, with septoplasty and left ethmoid and sphenoid sinusotomy being performed. Consequently, there is a need to educate health professionals, especially regarding the right approach of the test, as well as the relevance of the patient's previous history regarding previous neurological and otorhinolaryngological conditions, in order to avoid iatrogenesis and possible complications.
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Copyright (c) 2023 Andressa Vinha Zanúncio; Giovana Bandeira Dugnani; Jéssica Maia Couto Matias; Júlia Alves Camelo Brasil; Luciana Menezes Nogueira Martins; Natália Bahia de Camargos; Pietra Monique de Souza
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