Doctors said that woman with rare skull condition Kovid-19 nasal swab had spinal fluid leakage


A patient at St George's Hospital in Sydney, Australia underwent a nasal swab test for Kovid-19 earlier this May.

A patient at St George’s Hospital in Sydney, AustraliaA nose swab was tested for Kovid-19 earlier this May.
Photo: Lisa Marie Williams (Getty Images)

An Iowa woman’s nose swab test for Kovid-19 caused her to leak spinal fluid, her doctors report, the first recorded injury of its kind related to the novel coronavirus. But don’t worry about something similar happening to you during the swab test – an unfortunate accident is likely only because the woman inadvertently had a rare congenital condition that left an open part of her skull.

Case report was Published Thursday in the scientific journal JAMA Otolaryngology-Head and Neck Surgery. Reportedly, the woman went to her doctor complaining of a runny nose, stiff neck, headache, sensitivity to light and a strange metallic taste in the mouth. A physical examination revealed some type of mass in the right part of her nasal cavity, while tests of the woman’s snot showed that it contained spinal fluid.

Trying to piece together when she became ill, the woman told doctors that she recently underwent a swab test for Kovid-19 as a precaution before her voluntary hernia surgery. Shortly thereafter, she began to experience a runny nose and headaches, as well as a bunch of vomiting. Once he underwent an MRI, the problem was clearly identified. The woman, it turns out, is known as an encephalocele: a sacral formation of brain matter, membranes, and spinal fluid that spreads out of an opening in the skull that is not supposed to be.

An encephalocele (pronounced en-safe-a-lo-seal) is a Rare birth defects, Was thought to affect only one in 10,000 newborns in the US. They occur when the neural tube – the precursor of the central nervous system in an embryo – does not develop properly, causing some bones of our skull to fuse normally. They can usually be easily noticeable on an ultrasound or delivered once to a child. But sometimes, especially when the opening is around the nasal cavity, they are small enough to let go, even for several decades, as happened to an Iowa woman in her 40s. In this case, her encephalosis was actually seen on a CT scan taken three years earlier in 2017, but doctors at the time only diagnosed her with a sinus infection.

A CT scan of the woman's brain in 2017 revealed her rare birth defect, but it was not seen until after a nasal swab test for Kovid-19 was possibly injured and spinal fluid was removed. has left.

A CT scan of the woman’s brain in 2017 revealed her rare birth defect, but it was not seen until after a nasal swab test for Kovid-19 was possibly injured and spinal fluid was removed. has left.
The image: Sullivan, et al / Jama Otolaryngology-Head and Neck Surgery

However, nasal inflammation can certainly feel unpleasant (speaking from personal experience), in which case doctors feel that it is unlikely that the swab made her scalp hard enough to cause leakage on its own. Could. There have been reports of doctors injuring the nasal cavity to excrete spinal fluid, but this usually occurs during a surgical procedure. So while this may be the first report of spinal fluid leakage associated with a swab test for Kovid-19, there are probably some odd situations encountered while playing here.

We therefore write that the swab itself did not result in a breach of the base of the bony skull, but rather that aggressive testing traumatized the patient’s already existing encephalocele.

As a woman, doctors were able to successfully eradicate some of her encephalosis and plug the opening with tissue grafts.

While this series of events may occur, the authors suggest that a known history of similar skull defects or previous sinus injury is tested for Kovid-19 by methods other than nose-swab. Now saliva tests are available, with Some proof Suggesting that they may be as accurate as nasal swabs. And health care workers may swell the back of the throat instead of deep inside the nasal cavity. But as of now, these methods are still not widely accessible or applied as nasal swab tests.

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