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

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

• Upper Airway Cough Syndrome
• Cough
• Pathology
• Cerebrospinal fluid rhinorrhea
• Pulmonary
• Airway