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Ventriculoperitoneal shunt infection with non-typhoidal Salmonella species in an infant
1Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, N.Y., USA.
Insights
A rare bacterial cause of shunt infection in an infant was successfully treated. This case highlights the importance of considering unusual pathogens in pediatric neurosurgery infections.
Area of Science:
- Pediatric Neurosurgery
- Infectious Diseases
- Microbiology
Background:
- Ventriculoperitoneal shunts are crucial for managing hydrocephalus in infants.
- Shunt infections pose significant risks in pediatric neurosurgery.
- Posthemorrhagic hydrocephalus is a common indication for shunts in premature infants.
Observation:
- A 3-month-old male infant presented with irritability and poor feeding.
- The infant had a history of a ventriculoperitoneal shunt for hydrocephalus.
- Clinical presentation suggested a possible shunt infection.
Findings:
- The shunt infection was caused by non-Salmonellatyphi species.
- This organism is a rare cause of meningitis and shunt infections in the US.
- Prompt and effective antibiotic treatment led to a positive outcome.
Implications:
- This case underscores the need to consider rare pathogens in pediatric shunt infections.
- Early diagnosis and targeted treatment are vital for favorable outcomes.
- Understanding uncommon causative agents improves management strategies in neurosurgery.
Abstract:
Shunt infections are common in pediatric neurosurgery. We present a case of a 3-month-old male with a history of a ventriculoperitoneal shunt for posthemorrhagic hydrocephalus after premature birth who presented to the emergency department with irritability and decreased oral intake. His presentation was concerning for shunt infection and evaluation for this was undertaken. He was found to have a shunt infection due to non-Salmonellatyphi species, a rare cause of meningitis in children in the United States and rarer cause of shunt infection. With effective treatment for this organism, the patient did well and was discharged home in good condition.
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