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Journal of Korean Neurosurgical Society 1998;27(2): 264-267.
A Case of Ventriculoatrial Shunt-Associated Glomerulonephritis.
Young Jin Kim, Young Jin Lim, Tae Sung Kim, Bong Arm Rhee, Won Leem, Gook Ki Kim
Department of Neurosurgery, School of Medicine, Kyung Hee University, Seoul, Korea.
ABSTRACT
A 8-year old girl with a ventriculoatrial shunt presented with fever and gross hematuria. Staphylococcus epidermidis was cultured from blood. Light electron microscopic findings in this patients were characteristic of shunt nephritis and serum complement levels were low. After shunt removal, hydrocephalus was so severe that ventriculoperitoneal shunt revision was performed opposite Kocher's point: continuous antibiotic therapy resulted in normalization of the clinical symptoms. A review of the literature is included.
Key Words: Shunt nephritis; Staphylococcus epidermidis; Ventriculoatrial shunt
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