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Delayed external ventriculoperitoneal shunt infection.

Robert Owen¹, Thomas Pittman

¹University of Kentucky Chandler Medical School, Department of Surgery, Lexington, KY 40536-0298, USA. rdowen0@uky.edu

The Journal of the Kentucky Medical Association

|September 24, 2004

Summary

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Late shunt infections can present as chronic draining sinuses, even without malfunction or internal infection. Prompt removal of the infected shunt system is key for treatment.

Area of Science:

Neurosurgery
Pediatric Infectious Diseases
Medical Device Infections

Background:

Ventriculoperitoneal shunts are crucial for managing hydrocephalus.
Shunt infection is a known complication, often occurring early.
Approximately 10% of shunt infections manifest over a year post-operation.

Observation:

Two pediatric cases presented with unique late shunt infections.
Infections manifested as chronic, draining sinuses along the shunt tubing.
No shunt malfunction or cerebrospinal fluid (CSF) infection was present.

Findings:

These cases represent a distinct form of delayed, external shunt infection.
External infections responded effectively to shunt system removal.
The study highlights the possibility of localized, late-onset external infections.

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Implications:

Recognizing this unique presentation is vital for timely diagnosis.
External shunt infections require specific management strategies.
Further research into the pathogenesis of late, external shunt infections is warranted.