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Cerebrospinal fluid fistula as a complication of reverse transcriptase–polymerase chain reaction collection for the detection of coronavirus disease 2019: illustrative cases

BACKGROUND: The most used method to detect coronavirus disease 2019 during the pandemic is reverse transcriptase–polymerase chain reaction with nasal swab. Despite being highly effective, the test does not leave the patient risk-free and can lead to serious complications. These can be traumatic nasa...

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Autores principales: Palavani, Lucca B., Andrade, Camila V. F., Andrade, Renato A., Alves, Egmond, Barros, Marcio Falchi, Barbieri, João F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550713/
https://www.ncbi.nlm.nih.gov/pubmed/36718870
http://dx.doi.org/10.3171/CASE22478
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author Palavani, Lucca B.
Andrade, Camila V. F.
Andrade, Renato A.
Alves, Egmond
Barros, Marcio Falchi
Barbieri, João F.
author_facet Palavani, Lucca B.
Andrade, Camila V. F.
Andrade, Renato A.
Alves, Egmond
Barros, Marcio Falchi
Barbieri, João F.
author_sort Palavani, Lucca B.
collection PubMed
description BACKGROUND: The most used method to detect coronavirus disease 2019 during the pandemic is reverse transcriptase–polymerase chain reaction with nasal swab. Despite being highly effective, the test does not leave the patient risk-free and can lead to serious complications. These can be traumatic nasal cerebrospinal fluid (CSF) fistula and its consequences, such as meningitis. OBSERVATIONS: In this article, the authors present 4 case reports and a literature review. The following MeSH terms in the research were used: “CSF leak case report and covid 19.” Six results were found and after searching the references and keywords 16 articles were identified. By using them, the authors tried to clarify the etiology of the fistula, its influences, and complications. LESSONS: The authors conclude that professionals must receive training, since CSF fistula originates from technical failure and lack of anatomical knowledge. The diagnosis cannot be neglected because it can bring complications to the patient’s health.
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spelling pubmed-105507132023-10-06 Cerebrospinal fluid fistula as a complication of reverse transcriptase–polymerase chain reaction collection for the detection of coronavirus disease 2019: illustrative cases Palavani, Lucca B. Andrade, Camila V. F. Andrade, Renato A. Alves, Egmond Barros, Marcio Falchi Barbieri, João F. J Neurosurg Case Lessons Case Lesson BACKGROUND: The most used method to detect coronavirus disease 2019 during the pandemic is reverse transcriptase–polymerase chain reaction with nasal swab. Despite being highly effective, the test does not leave the patient risk-free and can lead to serious complications. These can be traumatic nasal cerebrospinal fluid (CSF) fistula and its consequences, such as meningitis. OBSERVATIONS: In this article, the authors present 4 case reports and a literature review. The following MeSH terms in the research were used: “CSF leak case report and covid 19.” Six results were found and after searching the references and keywords 16 articles were identified. By using them, the authors tried to clarify the etiology of the fistula, its influences, and complications. LESSONS: The authors conclude that professionals must receive training, since CSF fistula originates from technical failure and lack of anatomical knowledge. The diagnosis cannot be neglected because it can bring complications to the patient’s health. American Association of Neurological Surgeons 2023-01-30 /pmc/articles/PMC10550713/ /pubmed/36718870 http://dx.doi.org/10.3171/CASE22478 Text en © 2023 The authors https://creativecommons.org/licenses/by-nc-nd/4.0/CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ).
spellingShingle Case Lesson
Palavani, Lucca B.
Andrade, Camila V. F.
Andrade, Renato A.
Alves, Egmond
Barros, Marcio Falchi
Barbieri, João F.
Cerebrospinal fluid fistula as a complication of reverse transcriptase–polymerase chain reaction collection for the detection of coronavirus disease 2019: illustrative cases
title Cerebrospinal fluid fistula as a complication of reverse transcriptase–polymerase chain reaction collection for the detection of coronavirus disease 2019: illustrative cases
title_full Cerebrospinal fluid fistula as a complication of reverse transcriptase–polymerase chain reaction collection for the detection of coronavirus disease 2019: illustrative cases
title_fullStr Cerebrospinal fluid fistula as a complication of reverse transcriptase–polymerase chain reaction collection for the detection of coronavirus disease 2019: illustrative cases
title_full_unstemmed Cerebrospinal fluid fistula as a complication of reverse transcriptase–polymerase chain reaction collection for the detection of coronavirus disease 2019: illustrative cases
title_short Cerebrospinal fluid fistula as a complication of reverse transcriptase–polymerase chain reaction collection for the detection of coronavirus disease 2019: illustrative cases
title_sort cerebrospinal fluid fistula as a complication of reverse transcriptase–polymerase chain reaction collection for the detection of coronavirus disease 2019: illustrative cases
topic Case Lesson
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550713/
https://www.ncbi.nlm.nih.gov/pubmed/36718870
http://dx.doi.org/10.3171/CASE22478
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