Covid-19 test caused brain fluid leak in US patient with rare condition: study

A Covid-19 nasal swab test punctured a US woman’s brain lining, causing fluid to leak from her nose and putting her at risk of life-threatening infection, doctors reported in a medical journal Thursday.

The patient, who is in her 40s, had an undiagnosed rare condition and the test she received may have been carried out improperly, a sequence of improbable events that means the risk from nasal tests remains very low.

But her case showed health care professionals should take care to follow testing protocols closely, Jarrett Walsh, senior author of the paper that appeared in JAMA Otolaryngology–Head & Neck Surgery, told AFP.

People who’ve had extensive sinus or skull base surgery should consider requesting oral testing if available, he added.

“It underscores the necessity of adequate training of those performing the test and the need for vigilance after the test has been performed,” added ear, nose and throat specialist

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Coronavirus test caused brain fluid leak in woman with rare health condition: report

A COVID-19 test reportedly led to a life-threatening infection for a woman with a rare, undiagnosed health condition.

The woman, in her 40s, received a nasal swab test that was said to have punctured her brian lining, causing fluid to leak from her nose and putting her in danger of an infection that could have been deadly, Jarret Walsh, an otolaryngologist, reported in the medical journal JAMA Otolaryngology-Head & Neck Surgery, according to AFP. 

A woman in her 40s received a nasal swab test that was said to have punctured her brain lining, causing fluid to leak from her nose. (AP Photo/Gregorio Borgia)

A woman in her 40s received a nasal swab test that was said to have punctured her brain lining, causing fluid to leak from her nose. (AP Photo/Gregorio Borgia)

The patient reportedly had an undiagnosed health condition and received a COVID-19 test that, doctors say, may not have been administered correctly.

The woman went for the COVID-19 nasal test before an elective hernia surgery and later exhibited clear fluid coming out one side of her nose,

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Report documents ‘very rare’ brain fluid leak linked to COVID-19 screening

Oct. 1 (UPI) — Researchers on Thursday described a “very rare” health complication linked with COVID-19 testing: brain fluid leak.

They documented what may be the first case — in a woman in her 40s — in a letter published by JAMA Otolaryngology-Head & Neck Surgery.

Those who have had sinus or skull-base surgery and those with known deformities of the skull base may be at risk for cerebrospinal fluid leak and should notify test takers of their history before getting screened for COVID-19, the researchers said.

“The good news is that this is a very rare event,” report co-author Dr. Jarrett E. Walsh, an ear, nose and throat specialist with the University of Iowa Hospitals and Clinics, told UPI.

“From a patient standpoint, there may be some discomfort with nasal swabs, but you should not have symptoms of persistent clear nasal drainage or significant bleeding after a swab,” particularly

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First Report of CSF Leak After COVID-19 Nasal Swab Testing

Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center.

A rare case of cerebrospinal fluid (CSF) leak occurred after a healthcare worker inadvertently swabbed a previously unidentified encephalocele during nasopharyngeal testing for COVID-19.

“This case of iatrogenic CSF leak from nasal swab testing for COVID-19 illustrates that prior surgical intervention, or pathology that distorts normal nasal anatomy, may increase the risk of adverse events associated with nasal testing for respiratory pathogens, including COVID-19,” write Christopher Blake Sullivan, MD, from the Department of Otolaryngology–Head and Neck Surgery at the University of Iowa Hospitals and Clinics in Iowa City, and colleagues.

“One should consider alternative methods to nasal screening in patients with known prior skull base defects, history of sinus or skull base surgery, or predisposing conditions to skull base erosion,” the authors continue.

The findings were published online today in JAMA Otolaryngology–Head and Neck Surgery.

Encephaloceles

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Operator discovers hazardous chemical leak at Salisbury water plant

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Salisbury officials introduced new COVID-19 restrictions on Monday, Sept. 14, 2020.

Salisbury Daily Times

SALISBURY, Md.— A Salisbury water operator came across a hazardous chemical leak as he carried out his typical shift Thursday, according to a recent press release from the city. 

At Salisbury’s Paleo Water Treatment Plant, the operator discovered a gaseous chlorine leak after entering the chlorine cylinder room to swap out an empty. 

He immediately notified his superintendent, according to the city, who contacted Salisbury Fire Department. The exposed employee was then sent to TidalHealth Peninsula Regional for evaluation. 

He received oxygen and has already been released in stable condition, according to the release. 

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Salisbury and Delmar Fire Departments responded to contain the chlorine leak. Two members of

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