Coronavirus test caused brain fluid leak in patient with rare condition in the US



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A nasal test for coronavirus pierced the lining of an American woman’s brain causing fluid to leak out of her nose and put her at risk for a life-threatening infection, doctors reported in a medical journal Thursday.

“Uncommon condition”

The patient, in her 40s, had a rare, undiagnosed condition And the test you received may have been performed incorrectly, an unusual sequence of events that means the risk of nasal tests remains very low.

However, the case showed that health professionals must be careful to follow the test protocols to the letter, he told AFP Jarrett walsh, lead author of the article that appeared in Otolaryngology-Head and Neck Surgery JAMA.

People who have undergone nasal or skull base surgery should consider an oral test, if available, he added.

Clear liquid through the nose

Walsh, who practices at the University of Iowa Hospital, said that la woman had had a nasal test before hernia surgery and that he noticed a clear liquid coming out of one side of his nose.

He later developed a headache, vomiting, a stiff neck, and an aversion to light. She was then transferred to Walsh to care for her.

The woman, who felt that the hyssop input was a bit high, had been treated years before for intracranial hypertension, which means that the pressure of the cerebrospinal fluid that protects and nourishes the brain was too high.

Encephalocele

Doctors at this time used a bypass to drain some of the fluid and the condition resolved. But it made him develop what is called encephalocele, a defect at the base of the skull that causes the lining of the brain to protrude into the nose, where it is susceptible to rupture.

This went unnoticed until his new doctors reviewed the old scans and performed surgery to repair the defect. Since then the patient has made a full recovery.

If the problem had not been addressed, could have developed a potentially fatal brain infection or air could have entered the skull and put undue pressure on the brain.

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