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Shunt nephritis: efficacy of an antibiotic trial for clinical diagnosis Noiri E; Kuwata S; Nosaka K; Nakao A; Taniguchi S; Seki J; Uwatoko S; Suzuki K; Fukagawa M; Okuda T; et al.Intern Med 1993[Apr]; 32 (4): 291-4Coagulase negative staphylococcus, a normal skin flora, is especially nosopoietic under shunt management, because coagulase negative staphylococcus sometimes forms a biofilm around itself at catheter tips in vivo, which shields the organism from the effects of antibiotics. But it is difficult to distinguish this pathogen from a possible confounding contamination of a blood culture. In this article, we report a case, and discuss how a patient with suspected shunt nephritis should be examined and treated. In addition, to further histological and prognostic interpretation, we review the previously reported cases of shunt nephritis in Japanese adults.|Adult[MESH]|Ampicillin/*therapeutic use[MESH]|Cerebrospinal Fluid Shunts/*adverse effects/methods[MESH]|Glomerulonephritis, Membranoproliferative/*diagnosis/*drug therapy/etiology/pathology[MESH]|Heart Atria[MESH]|Humans[MESH]|Male[MESH]|Staphylococcal Infections/*diagnosis/*drug therapy/etiology/pathology[MESH] |
