A 58-year-Old non-smoking woman with intractable cough and rhinorrhea

Kyle Admire; Lauren Kring; A Lukas Loschner

doi:10.1016/j.rmcr.2023.101814

A 58-year-Old non-smoking woman with intractable cough and rhinorrhea

Respir Med Case Rep. 2023 Feb 11:42:101814. doi: 10.1016/j.rmcr.2023.101814. eCollection 2023.

Authors

Kyle Admire¹, Lauren Kring¹, A Lukas Loschner²

Affiliations

¹ Department of Internal Medicine, Virginia Tech-Carilion, Roanoke, VA, USA.
² Department of Pulmonary & Critical Care Medicine, Virginia Tech-Carilion, Roanoke, VA, USA.

Abstract

Our case highlights an uncommon cause of CSF rhinorrhea. The patient was diagnosed with bacterial meningitis and appropriately treated after which, she developed unilateral rhinorrhea followed by non-productive cough. These symptoms were not responsive to multiple treatment regimens, and eventually imaging revealed a dehiscence in the ethmoid air sinus which was surgically repaired. We also performed a literature review on CSF rhinorrhea and provide insights into its evaluation.

Keywords: Airway; Cerebrospinal fluid rhinorrhea; Cough; Pathology; Pulmonary; Upper Airway Cough Syndrome.

Publication types

Case Reports