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Cysto-peritoneal shunt infection with Trichosporon beigelii
R D Ashpole1, K Jacobson, A T King
1Department of Neurological Surgery, Addenbrooke's Hospital, Cambridge, UK.
Abstract:
Infection is a frequent problem affecting cysto-peritoneal shunts, the usual causative organisms being Staphylococcus epidermidis and Staphylococcus aureus. Fungi are rarely isolated from such infections. We present the first report, as far as the authors are aware, of a case of Trichosporon beigelii shunt infection that responded to shunt removal and antifungal therapy.
Insights
Shunt infections are common, usually caused by bacteria. This study reports the rare Trichosporon beigelii fungal infection of a cysto-peritoneal shunt, successfully treated with removal and antifungal medication.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Neurosurgery
Background:
- Cysto-peritoneal shunts are frequently complicated by infections.
- Commonly identified pathogens include Staphylococcus epidermidis and Staphylococcus aureus.
- Fungal infections of shunts are exceptionally rare.
Observation:
- A rare case of fungal infection involving a cysto-peritoneal shunt was identified.
- The causative agent was identified as Trichosporon beigelii.
- This represents the first reported instance of this specific fungal pathogen in shunt infections.
Findings:
- The patient's shunt infection was caused by Trichosporon beigelii.
- Successful treatment involved surgical removal of the infected shunt.
- Antifungal therapy was administered concurrently with shunt removal.
Implications:
- Highlights the potential for rare fungal pathogens to cause shunt infections.
- Demonstrates the efficacy of shunt removal and antifungal treatment for Trichosporon beigelii infections.
- Suggests the need for broader diagnostic considerations in refractory or unusual shunt infections.