Presentation
She presented fever and child for a long time, these symptoms were secondary to infection of the device, and shunt nephritis was also present. [dialnet.unirioja.es]
Shunt nephritis should be considered in patients with a ventriculoatrial shunt presenting with arthritis, and the arthritis may be an early indicator of an infected ventriculoatrial shunt. [ncbi.nlm.nih.gov]
She presented fever and child for a long time, these symptoms were secondary to infection of the device, and shunt nephritis was also present. References 1. Black J, Chaacombe D, Ockenden B. [revistanefrologia.org]
A 23-year-old girl with a ventriculo-atrial shunt presented with hematuria, proteinuria and severe oedema. Diphtheroid organisms were cultured from blood, cerebrospinal fluid and the shunt valve. [ucdavis.pure.elsevier.com]
Entire Body System
- Fishing
[PubMed] [Google Scholar] Dobrin RS, Day NK, Quie PG, Moore HL, Vernier HL, Michael AF, Fish AJ. The role of complement, immunoglobulin and bacterial antigen in coagulase-negative staphylococcal shunt nephritis. Am J Med. 1975 Nov;59(5):660–673. [ncbi.nlm.nih.gov]
F., Fish, A. J. The role of complement, immunoglobulin and bacterial antigen in coagulase-negative staphylococcal shunt nephritis. Am. J. Med. 59 (1975) 660–673. Google Scholar Bolton, W. K., Sande, M. A., Normansell, D. E., Sturgill, B. [link.springer.com]
Vernier R,, Mauer SM, & Fish A, et al: The mesangial cell in glomerulonephritis, in Hamburger J, & Maxwell MH (eds): Advances in Nephrology. [thejns.org]
- Poor Growth
However, the true incidence of P. acnes shunt infection is probably higher than reported, due to the organism's lengthy incubation period and poor growth on certain culture media. [kidney-international.org]
- Leg Edema
A 60-year-old woman who had a VA shunt implanted for hydrocephalus began to show intermittent low-grade fever of an unknown origin, as well as hypertension and lower leg edema. [keio.pure.elsevier.com]
Musculoskeletal
- Oligoarthritis
Propionibacterium acnes isolated from synovial tissue and fluid in a patient with oligoarthritis associated with acne and pustulosis.Arthritis Rheum. 1998; 41: 1889-1893 Kirchhoff T. Merkesdal S. Rosenthal H. et al. [kidney-international.org]
Workup
The diagnostic workup and management of this disease is discussed. [ncbi.nlm.nih.gov]
Medicine Journal of neurosurgery 1991 Shunt nephritis is thought to be secondary to immune complex formation and deposition in the kidney in response to Staphylococcus epidermidis, and the diagnostic workup and management of this disease is discussed. [semanticscholar.org]
Workup often shows hypocomplementemia (↓ C3/C4), renal failure, eosinophilia and eosinophiluria. [medicalmediareview.com]
MD, University of Texas Health Sciences Center San Antonio Quick-brain MRI (also known as rapid-brain MRI, rapid-sequence MRI, fast-sequence MRI, single-shot fast-spin echo) is quickly replacing CT as the diagnostic imaging modality of choice in the workup [ahcmedia.com]
Diagnosis of Nephrotic Syndrome Because of these considerations, our recommendations for the initial workup of adults with nephrotic syndrome are outlined in Table 6. [jamanetwork.com]
Serum
- Abnormal Renal Function
Using this measure, over half of the patients reviewed had abnormal renal function (see Table 4). [hindawi.com]
Treatment
Treatment of her shunt infection by shunt replacement and antibiotic therapy resulted in slow resolution of her nephritis. [ucdavis.pure.elsevier.com]
Abstract BACKGROUND: Shunt nephritis is an immune-complex-mediated glomerulonephritis (GN) associated with chronically infected ventriculoatrial shunts inserted for treatment of hydrocephalus. [doi.org]
The optimal treatment includes timely removal of the infected shunt in combination with aggressive antibiotic therapy. [degruyter.com]
The patient recovered completely after removal of the shunt and antibiotic treatment. [ncbi.nlm.nih.gov]
The treatment of SN consists of antimicrobial therapy and removal of the shunt. It generally has a good prognosis in the majority of early diagnosed and properly cured cases. [paedcro.com]
Prognosis
It generally has a good prognosis in the majority of early diagnosed and properly cured cases. Some cases of SN have a poor prognosis despite of a good therapeutical approach. Our patient was an 11-year old boy with two implanted shunts. [paedcro.com]
Treatment involves mandatory removal of the shunt and antibiotics; prognosis is variable. [ncbi.nlm.nih.gov]
A good prognosis of this pathology is achieved if an early antibiotic treatment is established, and the infected shunt is removed Real Time Impact Factor: Pending Author Name: Daniel Sebastián Contento*, Juan Esteban Muñoz, Carolina Cortés, Sebastián [citefactor.org]
S albus Treatment Antibiotics, high-dose prednisone Prognosis 1 ⁄ 2 resolve with therapy, 1 ⁄ 4 have persistent urine abnormalities; 1 ⁄ 4 die of the neurologic defects necessitating ventricular shunt [medical-dictionary.thefreedictionary.com]
Etiology
181 Temperature Regulation 182 Additional Nursing Care 183 Syndrome of Inappropriate Secretion of Antidiuretic Hormone 184 Preoperative Baseline 185 Postoperative Complications 186 Outcomes 187 References 188 Spine 191 Traumatic Spinal Cord Injuries Etiology [books.google.de]
These findings support the potential role of C. bovis as an etiologic agent in human renal disease and further define the immune complex nature of shunt nephritis. [ncbi.nlm.nih.gov]
Keywords: GLOMERULONEPHRITIS-etiology; CEREBROSPINAL FLUID SHUNTS-adverse effect Category: Case report Volume: Vol. 44, No 4, october - december 2000 Authors: M. Saraga, Đ. Vukić-Košuljandić Reference work: DOI: [paedcro.com]
Etiology of CSF Shunt Infections View Table | Favorite Table | Download (.pdf) Table 70–1. [mhmedical.com]
Epidemiology
Infections of cerebrospinal fluid shunts: epidemiology, clinical manifestations, and therapy. J Infect Dis. 1975 May;131(5):543–552. [PubMed] [Google Scholar] Sells CJ, Shurtleff DB, Loeser JD. [ncbi.nlm.nih.gov]
Death occurred in 9%.[1] Epidemiology[edit] Shunt nephritis is a rare condition affecting males and females of all ages. It occurs in approximately 0.7-2.3% of patients with shunt infections. [en.wikipedia.org]
Infections of cerebrospinal fluid shunts: epidemiology, clinical manifestations and therapy. J. Infect. Dis. 131 (1975) 543–553. Google Scholar McLaurin, R. L. Infected cerebrospinal shunts. Surg. Neurol. 1 (1973) 191–195. Google Scholar Forrest, D. [link.springer.com]
Infections of cerebrospinal fluid shunts: epidemiology, clinical manifestations, and therapy. J. Infect. Dis. 131 : 543 – 552. 65. Sells, C. J., , D. B. Shurtleff, , and J. D. Loeser. 1977. [asmscience.org]
Pathophysiology
This study of pathologic and laboratory changes following therapy suggests that the pathophysiology of the nephritis was based on an immunologic process, and that removal of antigen resulted in reversal of glomerular changes. [ncbi.nlm.nih.gov]
Nursing Care 200 Summary 202 KlippelFeil Syndrome 205 Outcomes 206 Summary 208 Neurovascular Disease 211 Arterial Supply 212 Venous Supply 213 Vein of Galen Aneurysmal Malformations 214 Diagnostic Tests 215 Treatment Options 216 Family Education 217 Pathophysiology [books.google.de]
Rarely, the major complaint may be arthritis.[2] Pathophysiology[edit] Shunt nephritis occurs when a shunt becomes infected with bacteria, most commonly Staphylococcus epidermidis. [en.wikipedia.org]
Prevention
Prevention of bacterial endocarditis. [books.google.com]
Prevention of bacterial endocarditis. [books.google.de]
Colonization of CSF shunts: preventive measures.Zeitschrift für Kinderchirurgie. 1982; 37: 156-157 Google Scholar Welch K. The prevention of shunt infection.Zeitschrift für Kinderchirurgie. 1977; 22: 465-475 Google Scholar Welch K. [journalofhospitalinfection.com]
Endovascular retrieval of migrated shunts is less invasive, is feasible, and prevents further complications. [pediatricneurosciences.com]
The etiology and prevention of shunt nephritis. Z. Kinderchir. 28 (1979) 377–384. Google Scholar Narchi, H., Taylor, R., Azmy, A. F., Murphy, A. V., Beattie, T. J. Shunt nephritis. J. Paediatr. Surg. 23 (1988) 839–841. Google Scholar Arze, R. [link.springer.com]