A Case of Aspiration Pneumonia Caused by Cerebrospinal Fluid Leaks Associated with Delayed Identification of Iatrogenic Skull Base Injury during Endoscopic Sinus Surgery
Cerebrospinal fluid (CSF) leaks associated with endoscopic sinus surgery (ESS) are a rare complication affecting approximately 0.09% of patients. Although meningitis is a well-known complication of CSF leaks, the case we present is a rare and cautionary case of CSF leakage associated with ESS leadin...
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| Format: | Article |
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Wiley
2021-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2021/5532194 |
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| author | Takashi Anzai Akira Baba Shin Ito Yo Suzuki Shori Tajima Satoshi Hara Yusuke Takata Fumihiko Matsumoto Katsuhisa Ikeda |
| author_facet | Takashi Anzai Akira Baba Shin Ito Yo Suzuki Shori Tajima Satoshi Hara Yusuke Takata Fumihiko Matsumoto Katsuhisa Ikeda |
| author_sort | Takashi Anzai |
| collection | DOAJ |
| description | Cerebrospinal fluid (CSF) leaks associated with endoscopic sinus surgery (ESS) are a rare complication affecting approximately 0.09% of patients. Although meningitis is a well-known complication of CSF leaks, the case we present is a rare and cautionary case of CSF leakage associated with ESS leading to aspiration pneumonia. A 43-year-old man with CSF leaks after ESS was referred to our hospital. After the operation, sometimes, he reported having a serous nasal discharge from the right side when he bent over, and he woke up choking on something every day. He also experienced headache, fever, fatigue, and cough. Interestingly, chest computed tomography (CT) showed a consolidation and ground-glass opacity in the posterior segments of the right upper lobes and superior segments of the bilateral lower lobes. These CT imaging findings were similar to those of aspiration pneumonia in bedridden patients who are always in a supine position. These findings suggest that CSF caused aspiration pneumonia. To the best of our knowledge, no case of aspiration pneumonia caused by CSF during endoscopic sinus surgery has been reported until now. If a patient with CSF leakage after ESS experiences fever, cough, or fatigue, physicians should consider aspiration pneumonia in addition to meningitis. |
| format | Article |
| id | doaj-art-2cb4f77ea359433aaa8d51a790066f80 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-2cb4f77ea359433aaa8d51a790066f802025-02-03T00:58:49ZengWileyCase Reports in Otolaryngology2090-67652090-67732021-01-01202110.1155/2021/55321945532194A Case of Aspiration Pneumonia Caused by Cerebrospinal Fluid Leaks Associated with Delayed Identification of Iatrogenic Skull Base Injury during Endoscopic Sinus SurgeryTakashi Anzai0Akira Baba1Shin Ito2Yo Suzuki3Shori Tajima4Satoshi Hara5Yusuke Takata6Fumihiko Matsumoto7Katsuhisa Ikeda8Department of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, JapanDepartment of Radiology, The Jikei University School of Medicine, Tokyo, JapanDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, JapanDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, JapanDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, JapanDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, JapanDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, JapanDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, JapanDepartment of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, JapanCerebrospinal fluid (CSF) leaks associated with endoscopic sinus surgery (ESS) are a rare complication affecting approximately 0.09% of patients. Although meningitis is a well-known complication of CSF leaks, the case we present is a rare and cautionary case of CSF leakage associated with ESS leading to aspiration pneumonia. A 43-year-old man with CSF leaks after ESS was referred to our hospital. After the operation, sometimes, he reported having a serous nasal discharge from the right side when he bent over, and he woke up choking on something every day. He also experienced headache, fever, fatigue, and cough. Interestingly, chest computed tomography (CT) showed a consolidation and ground-glass opacity in the posterior segments of the right upper lobes and superior segments of the bilateral lower lobes. These CT imaging findings were similar to those of aspiration pneumonia in bedridden patients who are always in a supine position. These findings suggest that CSF caused aspiration pneumonia. To the best of our knowledge, no case of aspiration pneumonia caused by CSF during endoscopic sinus surgery has been reported until now. If a patient with CSF leakage after ESS experiences fever, cough, or fatigue, physicians should consider aspiration pneumonia in addition to meningitis.http://dx.doi.org/10.1155/2021/5532194 |
| spellingShingle | Takashi Anzai Akira Baba Shin Ito Yo Suzuki Shori Tajima Satoshi Hara Yusuke Takata Fumihiko Matsumoto Katsuhisa Ikeda A Case of Aspiration Pneumonia Caused by Cerebrospinal Fluid Leaks Associated with Delayed Identification of Iatrogenic Skull Base Injury during Endoscopic Sinus Surgery Case Reports in Otolaryngology |
| title | A Case of Aspiration Pneumonia Caused by Cerebrospinal Fluid Leaks Associated with Delayed Identification of Iatrogenic Skull Base Injury during Endoscopic Sinus Surgery |
| title_full | A Case of Aspiration Pneumonia Caused by Cerebrospinal Fluid Leaks Associated with Delayed Identification of Iatrogenic Skull Base Injury during Endoscopic Sinus Surgery |
| title_fullStr | A Case of Aspiration Pneumonia Caused by Cerebrospinal Fluid Leaks Associated with Delayed Identification of Iatrogenic Skull Base Injury during Endoscopic Sinus Surgery |
| title_full_unstemmed | A Case of Aspiration Pneumonia Caused by Cerebrospinal Fluid Leaks Associated with Delayed Identification of Iatrogenic Skull Base Injury during Endoscopic Sinus Surgery |
| title_short | A Case of Aspiration Pneumonia Caused by Cerebrospinal Fluid Leaks Associated with Delayed Identification of Iatrogenic Skull Base Injury during Endoscopic Sinus Surgery |
| title_sort | case of aspiration pneumonia caused by cerebrospinal fluid leaks associated with delayed identification of iatrogenic skull base injury during endoscopic sinus surgery |
| url | http://dx.doi.org/10.1155/2021/5532194 |
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