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Review
, 32 (4), 291-4

Shunt Nephritis: Efficacy of an Antibiotic Trial for Clinical Diagnosis

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Review

Shunt Nephritis: Efficacy of an Antibiotic Trial for Clinical Diagnosis

E Noiri et al. Intern Med.

Abstract

Coagulase negative staphylococcus, a normal skin flora, is especially nosopoietic under shunt management, because coagulase negative staphylococcus sometimes forms a biofilm around itself at catheter tips in vivo, which shields the organism from the effects of antibiotics. But it is difficult to distinguish this pathogen from a possible confounding contamination of a blood culture. In this article, we report a case, and discuss how a patient with suspected shunt nephritis should be examined and treated. In addition, to further histological and prognostic interpretation, we review the previously reported cases of shunt nephritis in Japanese adults.

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