key: cord-0918638-cakl794g
authors: Otluoglu, Gulden Demirci; Paker, Berkay; Zorlu, Emre; Akakın, Akın; Kilic, Turker
title: Iatrogenic Rhinorrhea by Nasal Swab Testing During COVID-19 Pandemic: Case Report
date: 2021-08-21
journal: Neurochirurgie
DOI: 10.1016/j.neuchi.2021.08.001
sha: f8e44f6eb4d78ecfd2839b1fe208a3c59db891ac
doc_id: 918638
cord_uid: cakl794g

nan

). The decision was following the patient with lumbar drainage as a non-surgical treatment option for the defect. Patient's rhinorrhea has been ceased after the insertion of the lumbar drainage. The patient was followed for 10 days with lumbar drainage. After 10 days of drainage, the drain was terminated for 24 hours. After the termination of the drainage no more rhinorrhea has been observed and the patient was discharged after the lumbar drainage had been removed. She is under follow up without any recurring rhinorrhea after 9 months from the treatment.

Nasal swab test for COVID-19 is readily available and has been widespread used as a diagnosting tool for active COVID-19 infection. When performed properly the nasal swab test is considered as the gold standard for detecting the COVID-19 virus 2 .

To our knowledge, this is the fifth case of rhinorrhea in the published English literature after nasal swab test for COVID-19 3-6 . In the first case presented; the authors postulated that the rhinorrhea was because of the preexisting defect and breached by an improperly placed nasal Even though the adverse events related to nasal swab testing is very rare and mostly not serious 9 but, it is important to be familiar with the possible complications and appropriate management of these adverse events. Test performers should be carefully trained for proper insertion of the nasal swabs both for the prevention of adverse events and for effective sample collection.

Nasal swab testing is the gold standard diagnostic tool for COVID-19. The test performers could not cause any side effect if they follow the basic steps for the effective sample collection. Very rarely, due to inappropriate positioning of the swab additional surgical and/or medical intervention requiring medical conditions can be faced upon.

Acknowledgement: The authors would like to thank to Mr. Deniz Ağca for the illustration. 

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