Nephritis associated with a chronically infected ventriculoatrial shunt is known as shunt nephritis. To our knowledge, we report the first case of shunt nephritis in a child with a ventriculoperitoneal shunt. The light, immunofluorescence and electron microscopic findings in our patient were characteristic of shunt nephritis. The immune complex pathogenesis of the disease is discussed. Urologists involved in the management of children with myelodysplasia and neurogenic bladders should be alert to this renal complication.