[Shunt nephritis (author's transl)]

An Esp Pediatr. 1982 Feb;16(2):170-5.
[Article in Spanish]

Abstract

Five patients aged 1.1 - 4.3 years, affected by nephritis secondary to infection of ventriculo-atrial shunt are presented. The time lag between the occurrence of shunt infection and diagnosis of nephropathy varied from 1 to 12 months. In four patients "Staphylococcus epidermidis" was isolated from blood and CSF cultures, and "Staphylococcus aureus" in another one. Renal lesion presented as hematuria and proteinuria, and two patients developed a nephrotic syndrome. Hypertension was present in three patients. C'2 and D'4 hypocomplementemia was a constant feature in the acute stage of the disease. Endocapillary glomerulonephritis was observed in three patients and endo-extracapillary glomerulonephritis in one (70% of crescent formations). After shunt removal and antibiotic administration a favorable clinical course was followed in three patients, with remission of nephropathy signs. The fifth patient (non biopsied) died in the course of a septic process, having kept until then a good renal function.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Cerebrospinal Fluid Shunts / adverse effects*
  • Child, Preschool
  • Female
  • Heart Atria
  • Humans
  • Immune Complex Diseases / etiology
  • Infant
  • Male
  • Nephritis / etiology*
  • Sepsis / etiology
  • Staphylococcal Infections / complications*
  • Staphylococcal Infections / immunology
  • Surgical Wound Infection / complications*
  • Surgical Wound Infection / immunology