• Internal medicine · Jun 2022

    Aspiration of Cerebrospinal Fluid Rhinorrhea as a Cause of Non-resolving Pneumonia.

    • Daisuke Takekoshi, Shun Inukai, Satoki Hatano, Shota Fujimoto, Tsukasa Kadota, Teppei Takeda, Kazuhiro Omura, Eri Mori, Jun Araya, and Kazuyoshi Kuwano.
    • Division of Respiratory Medicine, Department of Internal Medicine, the Jikei University School of Medicine, Japan.
    • Intern. Med. 2022 Jun 15; 61 (12): 1877-1880.

    AbstractWe herein report two cases of cerebrospinal fluid (CSF) rhinorrhea associated with lung infiltrates. One patient presented with symptomatic non-resolving pneumonia, while the other was asymptomatic. In both cases, the lung infiltrates completely resolved when CSF leakage had subsided. Pulmonary involvement in CSF rhinorrhea is under-recognized, and despite being the definitive treatment, surgery for CSF rhinorrhea is typically postponed due to the presence of lung infiltrates. However, meningitis is a serious complication due to a delay in surgical management. Physicians should be made aware that CSF rhinorrhea is a potential cause of intractable lung infiltrates.

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