Mughal, ZahirLuff, EdOkonkwo, OkechukwuHall, Charlie2025-10-032025-10-032020-07-28Mughal, Z., Luff, E., Okonkwo, O., & Hall, C. E. J. (2020). Test, test, test - a complication of testing for coronavirus disease 2019 with nasal swabs. The Journal of laryngology and otology, 134(7), 646–649. https://doi.org/10.1017/S002221512000142510.1017/S0022215120001425https://hdl.handle.net/20.500.14709/912Background: Coronavirus disease 2019, a highly transmissible respiratory infection, has created a public health crisis of global magnitude. The mainstay of diagnostic testing for coronavirus disease 2019 is molecular polymerase chain reaction testing of a respiratory specimen, obtained with a viral swab. As the incidence of new cases of coronavirus disease 2019 increases exponentially, the use of viral swabs to collect nasopharyngeal specimens is anticipated to increase drastically. Case report: This paper draws attention to a complication of viral swab testing in the nasopharynx and describes the premature engagement of a viral swab breakpoint, resulting in impaction in the nasal cavity. Conclusion: This case highlights a possible design flaw of the viral swab when used to collect nasopharyngeal specimens, which then requires an aerosol-generating procedure in a high-risk patient to be performed. The paper outlines a safe technique of nasal foreign body removal in a suspected coronavirus disease 2019 patient and suggests alternative testing materials.Full text uploadedenCC BY 4.0https://creativecommons.org/licenses/by/4.0/Ear Nose & ThroatCOVID-19Journal Articlehttps://gerr.openrepository.com/bitstreams/50419979-8cd2-4883-8c7b-ec0b56ff8783/download