O'Regan S, Makker S P
Am J Med Sci. 1979 Sep-Oct;278(2):161-5.
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 shung valve. Immunoglobulin, complement components and diphtheroid antigenic material were demonstrated in the glomeruli by immunofluorescence microscopy. Treatment of her shunt infection by shunt replacement and antibiotic therapy resulted in slow resolution of her nephritis. The slow resolution of her nephritis suggests that prompt resolution of immune complex disease due to prolonged bacterial injection cannot always be anticipated, even after successful eradication of infection.
一名患有脑室-心房分流术的23岁女孩出现血尿、蛋白尿和严重水肿。从血液、脑脊液和分流瓣膜中培养出类白喉杆菌。通过免疫荧光显微镜在肾小球中检测到免疫球蛋白、补体成分和类白喉抗原物质。通过更换分流装置和抗生素治疗她的分流感染，其肾炎症状缓慢缓解。她的肾炎缓解缓慢表明，即使感染成功根除，由于长期细菌感染导致的免疫复合物疾病也不一定能迅速缓解。
