Nagdulot ng "Brain fluid leak" sa isang pasyenteng my 'Rare Condition' matapos sumailalim sa C0VID-19 test

Source: GMA Isang COVID-19 nasal swab test ang nagpa-rapture sa bungo ng isang babae sa US, na nagdulot ng cerebrospinal fluid leak mula sa ...

Source: GMA

Isang COVID-19 nasal swab test ang nagpa-rapture sa bungo ng isang babae sa US, na nagdulot ng cerebrospinal fluid leak mula sa kanyang ilong at naglagay sa kanya sa kapahamakang magkaroon ng brain infection, ayon sa ulat ng mga doktor sa isang medical journal, nito lamang Oktubre 2.

Ayon sa ulat ng GMA News sa kanilang website, “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.”

Source: GMA

Pahayag naman sa AFP ng senior author ng papel na lumabas sa JAMA Otalaryngology – Head &Neck Surgery na si Jarrett Walsh, dapat umanong mag-ingat ang mga health care professionals upang masunod ang maayos na testing protocols.

Dagdag pa niya, mas mabuting mag-oral test ang mga taong nagkaroon ng extensive sinus o skull base surgery.

Ani naman ng ear, nose and throat specialist na si Dennis Kraus ng Lenox Hill Hospital sa New York, “It underscores the necessity of adequate training of those performing the test and the need for vigilance after the test has been performed.”

Sinabi pa ni Walsh, na nagsasanay sa University of Iowa Hospital, na ang babae ay una munang nag-nasal test bago dumaan sa elective hernia surgery, at matapos nito’y may clear fluid nang lumabas mula sa isang side ng kanyang ilong.

Nakaranas din siya ng pananakit ng ulo, pagsusuka, neck stiffness, at aversion to light, kaya dinala na siya sa pangangalaga ni Walsh.

Source: GMA

 “She had been swabbed previously for another procedure, same side, no problems at all. She feels like maybe the second swab was not using the best technique, and that the entry was a little bit high,” ayon pa kay Walsh.

Sabi ulit sa website, “In fact, the woman had been treated years earlier for intracranial hypertension – meaning that the pressure from cerebrospinal fluid that protects and nourishes the brain was too high.

Doctors at the time used a shunt to drain some of the fluid and the condition resolved.

But it caused her to develop what’s called an encephalocele, or a defect at the base of the skull which made the brain’s lining protrude into the nose where it was susceptible to rupture.

This went unnoticed until old scans were reviewed by her new doctors, who carried out surgery to repair the defect in July.

She has since fully recovered.”



Source: GMA

Naniniwala si Walsh na ang sintomas na naranasan ng pasiyente ay resulta ng “irritation to the lining of the brain.”

Kung hindi pa raw nalunasan, maaaring magkaroon siya ng “a life-threatening brain infection” na mula sa bacteria na papasok sa kaniyang ilong.

Most testing protocols call for clinicians to follow the path of the floor of the nose, which lies above the roof of the mouth, rather than pointing the swab up – or if they point it up, to do so with great care,” dagdag pa sa website.

Binanggit pa ni Walsh na kahit ito ay isang “very rare occurrence,” isa raw itong paalala na kinakailangang magkaroon ng high-quality training, dahil marami pang mga tests ang isasagawa bago matapos ang pandemya.

Source: GMA

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